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General NPI Number Information
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NPI Number | 1962823864
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Entity Type | Organization
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Legal Business Name | THOMAS SHERRY LCSW PA
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 12/18/2013
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Provider Practice Location Address
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Address Line | 775 HAYWOOD RD STE I
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City | ASHEVILLE
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State | NC
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Zip | 28806-7111
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Country | US
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Telephone | 828-545-1358
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Fax | 336-419-4534
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Provider Business Mailing Address
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Address Line | 775 HAYWOOD RD STE I STE I
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City | ASHEVILLE
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State | NC
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Zip | 28806-7111
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Country | US
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Telephone | 828-545-1358
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Fax |
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Authorized Official
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Title or Position | THERAPIST AND OFFICE MANAGER
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Name | ANNE R SHERRY
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Credential | LPC, LCAS, CCS
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Telephone | 828-545-1358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | C003660
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License Number State | NC
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