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General NPI Number Information
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NPI Number | 1184308660
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Entity Type | Individual
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Provider Name | SHERAY N ANTHONY LPC
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Gender | Female
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 318 BELLE ARBOR DR
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City | CHERRY HILL
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State | NJ
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Zip | 08034-1805
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Country | US
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Telephone | 856-448-3757
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Fax |
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Provider Business Mailing Address
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Address Line | 7731 OXFORD AVE APT A
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City | PHILADELPHIA
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State | PA
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Zip | 19111-2409
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Country | US
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Telephone | 856-448-3757
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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 | PC015625
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License Number State | PA
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