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NPI Code Detail

MEDICARE: ABIGAIL SHERIDAN

MEDICARE: ABIGAIL SHERIDAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1033796412
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL SHERIDAN
Provider Business Mailing Address
First Line : 23 ISAAC ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2080
Country : US
Telephone Number : 774-419-1008
Fax Number :
Provider Business Practice Location Address
First Line : 23 ISAAC ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2080
Country : US
Telephone Number : 774-419-1008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2021
Last Update Date : 04/10/2026

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Directions to “ ABIGAIL SHERIDAN ” Practice Location

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