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General NPI Number Information
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NPI Number | 1740001916
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Entity Type | Individual
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Provider Name | DR. SHERRIE L DAVIS
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1545 S 600 W
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City | TOPEKA
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State | IN
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Zip | 46571-9149
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Country | US
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Telephone | 260-768-4404
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Fax |
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Provider Business Mailing Address
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Address Line | 7510 S 215 E
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City | WOLCOTTVILLE
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State | IN
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Zip | 46795-9279
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Country | US
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Telephone | 260-350-4127
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1118391
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License Number State | IN
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