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General NPI Number Information
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NPI Number | 1215922042
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Entity Type | Organization
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Legal Business Name | ADAM G SHERMAN PHD PC
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 3015 E SKELLY DR SUITE 135
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City | TULSA
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State | OK
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Zip | 74105-6317
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Country | US
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Telephone | 918-712-2885
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Fax | 918-712-9019
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Provider Business Mailing Address
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Address Line | 3015 E SKELLY DR SUITE 135
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City | TULSA
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State | OK
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Zip | 74105-6317
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Country | US
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Telephone | 918-712-2885
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Fax | 918-712-9019
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADAM GRANT SHERMAN
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Credential | PHD
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Telephone | 918-712-2885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 771
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License Number State | OK
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