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General NPI Number Information
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NPI Number | 1700352812
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Entity Type | Individual
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Provider Name | CHERYL F SCARLETT
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Gender | Female
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 4233 HIGHWAY 411
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City | MADISONVILLE
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State | TN
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Zip | 37354-1571
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Country | US
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Telephone | 423-442-8084
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Fax |
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Provider Business Mailing Address
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Address Line | 650 BALLPLAY SCHOOL RD
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City | TELLICO PLAINS
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State | TN
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Zip | 37385-5464
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Country | US
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Telephone | 813-416-4712
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4222
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License Number State | TN
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