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General NPI Number Information
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NPI Number | 1184653586
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Entity Type | Individual
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Provider Name | SARAH JEAN HERRING LGSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 VETERANS AVE
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City | BILOXI
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State | MS
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Zip | 39531-2410
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Country | US
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Telephone | 228-523-5000
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Fax | 228-523-5336
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Provider Business Mailing Address
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Address Line | 4616 LEWIS ST
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City | GULFPORT
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State | MS
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Zip | 39501-1204
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Country | US
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Telephone | 228-229-3342
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2090G
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | M5608
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License Number State | MS
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