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General NPI Number Information
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NPI Number | 1336390608
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Entity Type | Individual
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Provider Name | SHERIDAN E PAYNE
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Gender | Female
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 12000 TURNMEYER DR SE
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City | HUNTSVILLE
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State | AL
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Zip | 35803-3358
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Country | US
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Telephone | 800-724-5335
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Fax |
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Provider Business Mailing Address
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Address Line | 15 MCMULLEN LN SE
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City | GURLEY
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State | AL
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Zip | 35748-8000
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Country | US
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Telephone | 931-239-7871
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8177
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1325466
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH11005
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License Number State | AL
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