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General NPI Number Information
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NPI Number | 1063169480
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Entity Type | Individual
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Provider Name | KAYLA SHERMAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/05/2022
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Last Update Date | 03/05/2022
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Provider Practice Location Address
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Address Line | 994 N CENTER AVE
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City | GAYLORD
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State | MI
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Zip | 49735-9356
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Country | US
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Telephone | 989-732-3450
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Fax | 989-731-4513
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Provider Business Mailing Address
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Address Line | 571 NANCY LN
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City | GAYLORD
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State | MI
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Zip | 49735-9521
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Country | US
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Telephone | 989-350-0902
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704306835
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License Number State | MI
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