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NPI 1629302963

NPI 1629302963 : JENNIFER LYNN SCHERIFF PSYD : MANCHESTER, NH

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General NPI Number Information
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    NPI Number           |    1629302963
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER LYNN SCHERIFF PSYD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/18/2009
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    Last Update Date     |    06/20/2018
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Provider Practice Location Address
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    Address Line         |    718 SMYTH RD 
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    City                 |    MANCHESTER
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    State                |    NH
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    Zip                  |    03104
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    Country              |    US
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    Telephone            |    603-624-4366
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    25 SHERWOOD RD 
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    City                 |    SWAMPSCOTT
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    State                |    MA
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    Zip                  |    01907-2122
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    Country              |    US
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    Telephone            |    
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    10308
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    License Number State |    MA
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