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General NPI Number Information
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NPI Number | 1861461501
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Entity Type | Organization
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Legal Business Name | THOMAS H SHERIFF PHD PC
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 200 N 13TH ST STE 201
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City | CORSICANA
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State | TX
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Zip | 75110-4618
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Country | US
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Telephone | 903-874-4656
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Fax | 903-874-4666
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Provider Business Mailing Address
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Address Line | PO BOX 14
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City | CORSICANA
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State | TX
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Zip | 75151-0014
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Country | US
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Telephone | 903-874-4656
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Fax | 903-874-4666
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS H SHERIFF
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Credential | PHD
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Telephone | 903-874-4656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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