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General NPI Number Information
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NPI Number | 1568699890
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Entity Type | Individual
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Provider Name | SHERRI LYNN PHILPOTT M.S.W., LICSW
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Gender | Female
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 06/12/2009
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Provider Practice Location Address
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Address Line | 271 MOONSHINE LN
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City | HARPERS FERRY
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State | WV
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Zip | 25425-4946
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Country | US
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Telephone | 304-728-2264
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Fax |
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Provider Business Mailing Address
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Address Line | 224 E LIBERTY ST
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City | CHARLES TOWN
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State | WV
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Zip | 25414-1824
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Country | US
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Telephone | 304-671-8287
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | DP00943322
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904003877
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License Number State | VA
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