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General NPI Number Information
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NPI Number | 1922014919
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Entity Type | Individual
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Provider Name | TERRY W. STERRY PH D
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3345 GLENMORE AVE
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City | CINCINNATI
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State | OH
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Zip | 45211-6543
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Country | US
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Telephone | 513-481-7500
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Fax | 513-481-6316
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Provider Business Mailing Address
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Address Line | PO BOX 141131
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City | CINCINNATI
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State | OH
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Zip | 45250-1131
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Country | US
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Telephone | 513-481-7500
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1366
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6295
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License Number State | OH
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