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NPI 1164415493

NPI 1164415493 : SHERRY MARIA RANSOM DPM : MT. VERNON, NY

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General NPI Number Information
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    NPI Number           |    1164415493
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    Entity Type          |    Individual 
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    Provider Name        |    SHERRY MARIA RANSOM DPM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/23/2005
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    Last Update Date     |    06/12/2025
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Provider Practice Location Address
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    Address Line         |    360 NORTH COLUMBUS AVE 
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    City                 |    MT. VERNON
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    State                |    NY
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    Zip                  |    10552-2032
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    Country              |    US
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    Telephone            |    914-668-5296
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    Fax                  |    914-668-5302
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Provider Business Mailing Address
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    Address Line         |    360 NORTH COLUMBUS AVE SUITE 1
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    City                 |    MT. VERNON
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    State                |    NY
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    Zip                  |    10552-2332
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    Country              |    US
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    Telephone            |    914-668-5296
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    Fax                  |    914-668-5302
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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        |    213E00000X
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    Taxonomy Name        |    Podiatrist
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    License Number       |    N004514
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    213EP1101X
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    Taxonomy Name        |    Primary Podiatric Medicine Podiatrist
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    License Number       |    N004514
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    License Number State |    NY
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