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General NPI Number Information
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NPI Number | 1427659630
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Entity Type | Individual
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Provider Name | SHERRIE WADE LMHC 3015
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Gender | Female
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 260 NE WAVECREST WAY
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City | BOCA RATON
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State | FL
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Zip | 33432-4220
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Country | US
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Telephone | 561-479-6132
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Fax | 954-252-4044
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Provider Business Mailing Address
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Address Line | 260 NE WAVECREST WAY
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City | BOCA RATON
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State | FL
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Zip | 33432-4220
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Country | US
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Telephone | 561-479-6132
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Fax | 954-252-4044
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3015
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License Number State | FL
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