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General NPI Number Information
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NPI Number | 1972022382
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Entity Type | Individual
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Provider Name | SHERRY A BEARD FNP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 06/11/2018
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Provider Practice Location Address
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Address Line | 474 W BANKHEAD ST
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City | NEW ALBANY
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State | MS
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Zip | 38652-3319
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Country | US
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Telephone | 662-316-3144
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Fax | 662-316-3144
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Provider Business Mailing Address
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Address Line | 401 ALCORN DR STE 2C
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City | CORINTH
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State | MS
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Zip | 38834-9073
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Country | US
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Telephone | 662-416-2684
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 869814
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License Number State | MS
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