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General NPI Number Information
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NPI Number | 1427140532
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Entity Type | Individual
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Provider Name | SHERI MAXWELL P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 20 NEW HOPE DR
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City | GRAYSON
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State | GA
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Zip | 30017-4316
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Country | US
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Telephone | 770-682-3854
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Fax | 770-682-3824
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Provider Business Mailing Address
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Address Line | 20 GRAYSON NEW HOPE RD
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City | GRAYSON
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State | GA
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Zip | 30017-4316
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Country | US
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Telephone | 770-682-3854
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Fax | 770-682-3824
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT010601
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License Number State | GA
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