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General NPI Number Information
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NPI Number | 1285965376
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Entity Type | Individual
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Provider Name | SHERI ANDON LICSW
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Gender | Female
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Dates
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Enumeration Date | 01/29/2010
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 46 MAPLE LN
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City | BREWSTER
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State | MA
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Zip | 02631-2113
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Country | US
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Telephone | 781-838-1721
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Fax |
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Provider Business Mailing Address
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Address Line | 56 MAIN ST SUITE H
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City | ORLEANS
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State | MA
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Zip | 02653-9998
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Country | US
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Telephone | 781-838-1721
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 112166
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License Number State | MA
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