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General NPI Number Information
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NPI Number | 1245213586
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Entity Type | Individual
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Provider Name | SHERRY A ALEXANDER PAC
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Gender | Female
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 216 E COLLEGE
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City | MASON
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State | TX
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Zip | 76856-1390
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Country | US
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Telephone | 325-347-5926
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Fax | 325-347-5331
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Provider Business Mailing Address
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Address Line | PO BOX 989
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City | EDEN
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State | TX
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Zip | 76837-0989
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Country | US
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Telephone | 325-869-5500
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Fax | 325-869-5692
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA01694
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License Number State | TX
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