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General NPI Number Information
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NPI Number | 1487832432
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Entity Type | Individual
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Provider Name | MS. DEBORAH L SHERRILL
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Gender | Female
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 200 HIGH ST
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City | PARK HILLS
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State | MO
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Zip | 63601-2557
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Country | US
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Telephone | 573-431-2713
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Fax |
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Provider Business Mailing Address
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Address Line | 402 HOVIS FARM
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City | PARK HILLS
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State | MO
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Zip | 63601
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Country | US
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Telephone | 573-431-3547
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 113602
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License Number State | MO
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