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General NPI Number Information
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NPI Number | 1841898814
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Entity Type | Individual
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Provider Name | MRS. KAYLEIGH ROSE SHERMAN
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Gender | Female
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 233 PINE RD
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510-2236
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Country | US
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Telephone | 914-449-4449
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Fax |
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Provider Business Mailing Address
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Address Line | 15 WESTVIEW TRL
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City | NEW FAIRFIELD
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State | CT
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Zip | 06812-4804
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Country | US
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Telephone | 518-269-2154
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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 | 10669
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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 | 088297
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License Number State | NY
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