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General NPI Number Information
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NPI Number | 1578258125
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Entity Type | Individual
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Provider Name | RICKY DESHAUN CHERRY TLLP
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Gender | Male
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 97 IONA AVENUE
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City | MUSKEGON
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State | MI
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Zip | 49442
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Country | US
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Telephone | 231-760-6189
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Fax | 231-760-6179
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Provider Business Mailing Address
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Address Line | PO BOX 5042
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City | MUSKEGON
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State | MI
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Zip | 49445
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Country | US
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Telephone | 231-670-9878
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Fax | 231-760-6179
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6362010064
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License Number State | MI
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