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General NPI Number Information
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NPI Number | 1679986202
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Entity Type | Individual
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Provider Name | SHERRILL DANA LCPC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2014
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Last Update Date | 08/02/2019
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Provider Practice Location Address
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Address Line | 6590 S MCCARRAN BLVD STE A
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City | RENO
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State | NV
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Zip | 89509-6122
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Country | US
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Telephone | 775-324-1600
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Fax | 775-324-1602
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Provider Business Mailing Address
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Address Line | 825 DELUCCHI LN APT 51
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City | RENO
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State | NV
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Zip | 89502-6697
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Country | US
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Telephone | 775-722-1279
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CPO228
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License Number State | NV
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