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General NPI Number Information
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NPI Number | 1386082899
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Entity Type | Individual
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Provider Name | SHEREE HERSEY PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 1848 SE 1ST AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2875
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Country | US
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Telephone | 954-885-9500
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Fax | 954-855-9444
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Provider Business Mailing Address
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Address Line | 1848 SE 1ST AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2875
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Country | US
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Telephone | 954-885-9500
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Fax | 954-855-9444
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071007685
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 20042309A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY11948
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License Number State | FL
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