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General NPI Number Information
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NPI Number | 1144975202
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Entity Type | Individual
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Provider Name | SHERRIE L KING LPC
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Gender | Female
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 103 E KLEBERG AVE
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City | KINGSVILLE
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State | TX
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Zip | 78363-4502
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Country | US
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Telephone | 361-455-1342
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5926
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City | KINGSVILLE
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State | TX
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Zip | 78364-5926
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 77282
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License Number State | TX
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