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General NPI Number Information
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NPI Number | 1407314057
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Entity Type | Individual
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Provider Name | SHERRY LEE ALLEN LPC
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Gender | Female
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Dates
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Enumeration Date | 03/02/2019
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Last Update Date | 03/03/2019
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Provider Practice Location Address
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Address Line | 318 E COLLEGE ST STE 305
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City | DICKSON
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State | TN
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Zip | 37055-1832
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Country | US
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Telephone | 239-919-0948
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Fax |
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Provider Business Mailing Address
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Address Line | 2324 TRAEMOOR VILLAGE PL
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City | NASHVILLE
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State | TN
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Zip | 37209-5057
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Country | US
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Telephone | 239-919-0948
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 9467
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0000000507
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License Number State | TN
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