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General NPI Number Information
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NPI Number | 1841446481
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Entity Type | Individual
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Provider Name | JEFF R SHERMAN LPC
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Gender | Male
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 11797 SOUTH FWY SUITE 226
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City | BURLESON
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State | TX
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Zip | 76028-7026
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Country | US
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Telephone | 817-293-8993
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Fax |
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Provider Business Mailing Address
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Address Line | 505 OWENS DR
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City | CROWLEY
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State | TX
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Zip | 76036-3611
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Country | US
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Telephone | 817-297-6867
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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 | 13270
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License Number State | TX
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