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General NPI Number Information
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NPI Number | 1922813153
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Entity Type | Individual
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Provider Name | SHERI D RAY CADAC CAPRC
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 1806 E 10TH ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-6478
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Country | US
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Telephone | 812-946-0416
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Fax |
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Provider Business Mailing Address
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Address Line | 2516 FAIRMONT AVE
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City | NEW ALBANY
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State | IN
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Zip | 47150-3739
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Country | US
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Telephone | 502-240-7296
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 635195
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License Number State | IN
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