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General NPI Number Information
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NPI Number | 1124019930
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Entity Type | Individual
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Provider Name | MICHAEL BRUCE SHERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 15 S MAIN ST
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City | MARLBORO
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State | NJ
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Zip | 07746-1595
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Country | US
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Telephone | 732-303-8787
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Fax | 732-303-7870
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Provider Business Mailing Address
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Address Line | 15 S MAIN ST
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City | MARLBORO
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State | NJ
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Zip | 07746-1595
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Country | US
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Telephone | 732-303-8787
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Fax | 732-303-7870
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MA64347
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License Number State | NJ
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