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General NPI Number Information
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NPI Number | 1740758127
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Entity Type | Individual
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Provider Name | SHEENA MARIE PERRY PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 8452 EDES AVE
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City | OAKLAND
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State | CA
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Zip | 94621-1306
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Country | US
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Telephone | 510-835-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 8452 EDES AVE
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City | OAKLAND
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State | CA
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Zip | 94621-1306
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Country | US
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Telephone | 510-835-3700
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1072592
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2021050323
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 300736
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95020198
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2014002272
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95276634
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License Number State | CA
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