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General NPI Number Information
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NPI Number | 1881241263
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Entity Type | Individual
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Provider Name | CINDY JOYLENE SHARP LICSW 4903C
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Gender | Female
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 262 YEAGER PKWY STE F
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City | PELHAM
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State | AL
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Zip | 35124-4884
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Country | US
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Telephone | 205-282-9564
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 277
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City | CALERA
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State | AL
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Zip | 35040-0277
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Country | US
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Telephone | 205-586-5735
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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 | 4903C
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License Number State | AL
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