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General NPI Number Information
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NPI Number | 1043833478
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Entity Type | Individual
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Provider Name | JUSTINE ROBERTA LEE SHERMAN NP
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Gender | Female
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | USAF 4102 PINION DRIVE
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City | USAF ACADEMY
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State | CO
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Zip | 80840-2540
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Country | US
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Telephone | 719-439-9661
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Fax |
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Provider Business Mailing Address
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Address Line | 7641 N UNION BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-3863
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Country | US
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Telephone | 719-494-3948
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Fax | 949-695-4411
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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 | APN.0995522-NP
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License Number State | CO
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