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General NPI Number Information
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NPI Number | 1023013232
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Entity Type | Individual
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Provider Name | SHERRY K MARVEL DDS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 04/26/2018
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Provider Practice Location Address
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Address Line | 821 N FIELDER RD
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City | ARLINGTON
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State | TX
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Zip | 76012-4657
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Country | US
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Telephone | 817-303-5700
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Fax | 817-548-7099
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Provider Business Mailing Address
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Address Line | 1335 BENTLEY CT
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City | SOUTHLAKE
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State | TX
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Zip | 76092-9438
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Country | US
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Telephone | 817-657-9357
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 19421
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19421
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License Number State | TX
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