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General NPI Number Information
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NPI Number | 1427206259
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Entity Type | Individual
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Provider Name | SHERRYL DENISE JOHNSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 1219 LEXINGTON RD
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City | RICHMOND
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State | KY
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Zip | 40475-2802
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Country | US
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Telephone | 859-623-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 183 S BROADWAY ST P O BOX 65
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City | BEREA
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State | KY
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Zip | 40403-1610
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Country | US
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Telephone | 859-893-0499
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | KY-1919
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License Number State | KY
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