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General NPI Number Information
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NPI Number | 1093136541
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Entity Type | Organization
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Legal Business Name | SHERIF PEDIATRICS CLINIC
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Dates
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Enumeration Date | 12/31/2013
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Last Update Date | 12/31/2013
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Provider Practice Location Address
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Address Line | 5419 N LOVINGTON HWY BLDG # 1, SUITE # 2
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City | HOBBS
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State | NM
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Zip | 88240-9100
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Country | US
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Telephone | 575-392-1503
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Fax |
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Provider Business Mailing Address
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Address Line | 5419 N LOVINGTON HWY BLDG # 1, SUITE # 2
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City | HOBBS
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State | NM
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Zip | 88240-9100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BC PEDIATRICIAN
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Name | ALI SHERIF
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Credential | MD
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Telephone | 361-537-5171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 208000000X
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License Number State | NM
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