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General NPI Number Information
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NPI Number | 1598905697
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Entity Type | Individual
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Provider Name | SHERI L THOMPSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 88 HAMMOND ST STE 402
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City | BANGOR
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State | ME
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Zip | 04401-4953
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Country | US
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Telephone | 207-631-4056
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Fax |
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Provider Business Mailing Address
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Address Line | 51 CRESTMONT RD
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City | BANGOR
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State | ME
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Zip | 04401-5811
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Country | US
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Telephone | 207-735-5150
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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 | LC12821
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License Number State | ME
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