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General NPI Number Information
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NPI Number | 1821384124
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Entity Type | Individual
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Provider Name | CHERYL DURY LCSW,ATR
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Gender | Female
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Dates
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Enumeration Date | 06/24/2011
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 2606 TROTTERSLANE DR
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City | COLUMBUS
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State | OH
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Zip | 43235-5545
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Country | US
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Telephone | 207-706-6148
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Fax |
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Provider Business Mailing Address
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Address Line | 1822 HENDERSON RD UNIT 20618
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City | COLUMBUS
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State | OH
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Zip | 43220-8027
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Country | US
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Telephone | 207-706-6148
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 007920
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2204054
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC17744
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License Number State | ME
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