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General NPI Number Information
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NPI Number | 1720922933
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Entity Type | Individual
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Provider Name | SHERYL BOOTH
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Gender | Female
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 6380 BELLS FERRY RD
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City | ACWORTH
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State | GA
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Zip | 30102-5435
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Country | US
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Telephone | 404-989-7384
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Fax |
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Provider Business Mailing Address
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Address Line | 16470 QUAYSIDE DR
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City | MILTON
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State | GA
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Zip | 30004-8091
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Country | US
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Telephone | 770-289-0946
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | RN203293
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License Number State | GA
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