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General NPI Number Information
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NPI Number | 1013988179
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Entity Type | Individual
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Provider Name | CAROL MARIE SHERMAN DO
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Gender | Female
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 205 S PARK LN
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City | ALTUS
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State | OK
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Zip | 73521-5755
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Country | US
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Telephone | 580-379-6720
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Fax | 580-379-6724
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Provider Business Mailing Address
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Address Line | 1200 E PECAN ST
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City | ALTUS
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State | OK
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Zip | 73521-6141
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Country | US
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Telephone | 580-379-5000
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Fax | 580-379-5509
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3383
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License Number State | OK
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