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General NPI Number Information
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NPI Number | 1598624348
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Entity Type | Organization
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Legal Business Name | SUSAN E SHERRILL
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 107 E MAIN ST STE 8
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City | MEDFORD
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State | OR
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Zip | 97501-6022
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Country | US
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Telephone | 541-890-9714
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Fax | 541-500-0910
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Provider Business Mailing Address
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Address Line | 24041 HIGHWAY 140
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City | EAGLE POINT
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State | OR
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Zip | 97524-5552
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Country | US
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Telephone | 541-890-9714
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Fax | 541-500-0910
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | SUSAN SHERRILL
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Credential | LPC
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Telephone | 541-890-9714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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