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General NPI Number Information
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NPI Number | 1609828045
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Entity Type | Individual
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Provider Name | SHERRI RENE COLLETT D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 01/23/2012
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Provider Practice Location Address
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Address Line | 124 CHENOWETH CREEK RD
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City | ELKINS
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State | WV
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Zip | 26241-9795
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Country | US
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Telephone | 304-636-9610
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Fax | 304-636-1449
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Provider Business Mailing Address
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Address Line | 124 CHENOWETH CREEK RD
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City | ELKINS
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State | WV
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Zip | 26241-9795
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Country | US
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Telephone | 304-636-9610
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Fax | 304-636-1449
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 790
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License Number State | WV
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