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General NPI Number Information
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NPI Number | 1588901540
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Entity Type | Individual
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Provider Name | SHERRY M. BECKER LCSW, RPT
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Gender | Female
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 31A VILLAGE POND LN
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City | HAMPSTEAD
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State | NC
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Zip | 28443-5080
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Country | US
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Telephone | 910-233-5339
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Fax | 910-623-9011
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Provider Business Mailing Address
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Address Line | 622 SAW GRASS RD
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City | HAMPSTEAD
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State | NC
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Zip | 28443-2361
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Country | US
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Telephone | 910-233-5339
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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 | P006340
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License Number State | NC
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