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General NPI Number Information
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NPI Number | 1013144328
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Entity Type | Individual
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Provider Name | ERIN MJ SHEFFIELD D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 05/10/2018
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Provider Practice Location Address
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Address Line | 3915 MAINE ST STE 3
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City | QUINCY
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State | IL
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Zip | 62305-5843
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Country | US
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Telephone | 217-222-9434
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Fax | 217-222-0671
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Provider Business Mailing Address
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Address Line | 1025 MAINE ST
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City | QUINCY
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State | IL
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Zip | 62301-4096
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Country | US
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Telephone | 217-222-6550
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Fax | 217-277-2253
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 08658
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 021002868
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 08658
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 019031557
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License Number State | IL
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