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General NPI Number Information
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NPI Number | 1497359244
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Entity Type | Individual
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Provider Name | SHERRI PICKETT
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Gender | Female
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 2712 GRATIOT AVE
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City | DETROIT
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State | MI
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Zip | 48207-2493
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Country | US
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Telephone | 313-784-7118
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Fax |
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Provider Business Mailing Address
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Address Line | 21411 CIVIC CENTER DR STE 200
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City | SOUTHFIELD
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State | MI
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Zip | 48076-3950
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Country | US
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Telephone | 248-440-2268
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Fax | 248-440-2269
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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