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General NPI Number Information
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NPI Number | 1174690788
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Entity Type | Individual
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Provider Name | SHARON LAMOYNE KERR PH D
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2220 W 7TH AVE
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City | STILLWATER
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State | OK
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Zip | 74074-4105
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Country | US
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Telephone | 405-372-1988
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Fax | 405-624-1988
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Provider Business Mailing Address
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Address Line | 2220 W 7TH AVE
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City | STILLWATER
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State | OK
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Zip | 74074-4105
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Country | US
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Telephone | 405-372-1988
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Fax | 405-624-1988
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 997
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 997
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License Number State | OK
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