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General NPI Number Information
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NPI Number | 1639297286
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Entity Type | Individual
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Provider Name | SHERILYN MARIE MCCLURKAN
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 555 E OCEAN BLVD STE 300
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City | LONG BEACH
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State | CA
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Zip | 90802-5052
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Country | US
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Telephone | 562-432-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 12400 CYPRESS AVE SP. 14
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City | CHINO
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State | CA
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Zip | 91710-2811
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Country | US
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Telephone | 909-590-4646
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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