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General NPI Number Information
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NPI Number | 1851940019
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Entity Type | Individual
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Provider Name | SHERI MARIE KENNEDY
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Gender | Female
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 53 WOODLAND TRL
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City | CARMEL
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State | NY
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Zip | 10512-1408
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Country | US
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Telephone | 845-413-7172
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Fax |
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Provider Business Mailing Address
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Address Line | 53 WOODLAND TRL
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City | CARMEL
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State | NY
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Zip | 10512-1408
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Country | US
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Telephone | 845-413-7172
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number |
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License Number State |
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