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General NPI Number Information
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NPI Number | 1811654569
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Entity Type | Individual
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Provider Name | EMILY L SHERWOOD
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Gender | Female
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | PO BOX 104
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City | RIDGEFIELD
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State | WA
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Zip | 98642-0104
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Country | US
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Telephone | 503-893-4676
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Fax | 866-221-8745
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Provider Business Mailing Address
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Address Line | PO BOX 104
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City | RIDGEFIELD
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State | WA
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Zip | 98642-0104
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Country | US
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Telephone | 503-893-4676
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Fax | 866-221-8745
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86038766
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD-D-10212683
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 217091
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License Number State | AK
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI61149273
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License Number State | WA
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