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General NPI Number Information
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NPI Number | 1245671312
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Entity Type | Individual
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Provider Name | SHERRY REGINA SCOTT LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 2900 HILTON RD
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City | FERNDALE
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State | MI
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Zip | 48220-1017
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Country | US
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Telephone | 586-738-4374
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Fax |
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Provider Business Mailing Address
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Address Line | 16021 DUGAN ST
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City | ROSEVILLE
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State | MI
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Zip | 48066-1480
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Country | US
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Telephone | 586-738-4374
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 6801115505
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801115505
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License Number State | MI
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