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General NPI Number Information
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NPI Number | 1497941116
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Entity Type | Individual
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Provider Name | AMY SHERMAN
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Gender | Female
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 09/17/2007
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Provider Practice Location Address
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Address Line | 1499 FOREST HILL BLVD
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6050
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Country | US
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Telephone | 561-281-2975
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Fax | 561-964-4372
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Provider Business Mailing Address
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Address Line | 8640 VISTA GREENS CT
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City | LAKE WORTH
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State | FL
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Zip | 33467-2216
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH4923
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License Number State | FL
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