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General NPI Number Information
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NPI Number | 1134477789
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Entity Type | Individual
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Provider Name | JEFFREY WILLIAM SHERMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 2604 JEFFERSON DAVIS HWY
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City | ALEXANDRIA
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State | VA
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Zip | 22301-1025
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Country | US
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Telephone | 202-305-9420
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Fax |
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Provider Business Mailing Address
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Address Line | 506 A ST SE
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City | WASHINGTON
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State | DC
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Zip | 20003-1139
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Country | US
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Telephone | 518-637-7640
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 222992
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License Number State | NY
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