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General NPI Number Information
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NPI Number | 1831382092
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Entity Type | Individual
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Provider Name | SHERRILL ANN SCOTT LPC
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Gender | Female
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 7010 S YALE AVE STE 215
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City | TULSA
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State | OK
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Zip | 74136-5713
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Country | US
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Telephone | 918-492-2554
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Fax |
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Provider Business Mailing Address
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Address Line | 5303 E 12TH ST #25
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City | TULSA
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State | OK
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Zip | 74112-5304
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Country | US
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Telephone | 405-209-3048
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1337
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License Number State | OK
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