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General NPI Number Information
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NPI Number | 1407268337
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Entity Type | Individual
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Provider Name | MRS. SHERI BETTS
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Gender | Female
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 902 STATE ST #A
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City | ALTON
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State | IL
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Zip | 62002-6026
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Country | US
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Telephone | 618-581-0873
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Fax | 256-340-0005
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Provider Business Mailing Address
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Address Line | 902 STATE ST #A
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City | ALTON
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State | IL
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Zip | 62002-6026
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Country | US
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Telephone |
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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 | PTH7123
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License Number State | AL
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