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General NPI Number Information
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NPI Number | 1922466234
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Entity Type | Individual
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Provider Name | SCHERELL D.G. BRYAN
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Gender | Female
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 67 RUSS ST
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City | HARTFORD
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State | CT
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Zip | 06106-5408
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Country | US
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Telephone | 225-715-0608
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Fax |
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Provider Business Mailing Address
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Address Line | 67 RUSS ST
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City | HARTFORD
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State | CT
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Zip | 06106-5408
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Country | US
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Telephone | 225-715-0608
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Fax | 225-406-7671
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 011058
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10126
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 46.003855
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 5559
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License Number State | LA
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