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General NPI Number Information
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NPI Number | 1205067543
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Entity Type | Individual
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Provider Name | SHERRY DO N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 17822 BEACH BLVD SUITE 400
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-7101
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Country | US
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Telephone | 714-332-7016
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Fax | 714-845-9941
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Provider Business Mailing Address
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Address Line | 8692 WAGERS CIR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-5027
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Country | US
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Telephone | 714-332-7016
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Fax | 619-259-2582
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP19017
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License Number State | CA
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