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General NPI Number Information
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NPI Number | 1548657471
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Entity Type | Individual
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Provider Name | KATHERINE SHERRILL
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Gender | Female
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Dates
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Enumeration Date | 04/17/2015
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 2129 E 7TH ST
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City | CHARLOTTE
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State | NC
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Zip | 28204-3337
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Country | US
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Telephone | 704-375-5354
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Fax | 704-375-3069
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Provider Business Mailing Address
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Address Line | 2614 KENMORE AVE
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City | CHARLOTTE
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State | NC
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Zip | 28204-4302
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Country | US
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Telephone | 704-607-4793
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 11797
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 16063
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License Number State | NC
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