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General NPI Number Information
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NPI Number | 1114051935
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Entity Type | Organization
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Legal Business Name | DANIEL D SHERBERT MD
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 5807 W MAPLE RD SUITE 177
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-4483
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Country | US
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Telephone | 248-865-6400
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Fax | 248-865-6404
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Provider Business Mailing Address
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Address Line | 5807 W MAPLE RD SUITE 177
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-4483
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Country | US
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Telephone | 248-865-6400
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Fax | 248-865-6404
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BETH A SHERBERT
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Credential |
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Telephone | 248-865-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 4301051281
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License Number State | MI
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