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General NPI Number Information
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NPI Number | 1780486480
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Entity Type | Individual
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Provider Name | SHERRET REGISTER CBD, MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1909 MONTGOMERY HWY STE 320
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City | DOTHAN
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State | AL
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Zip | 36303-3299
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Country | US
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Telephone | 662-614-4063
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Fax |
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Provider Business Mailing Address
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Address Line | 112 ELMWOOD DR
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City | DOTHAN
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State | AL
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Zip | 36303-5536
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Country | US
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Telephone | 662-614-4063
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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 | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | 1-194014
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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