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General NPI Number Information
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NPI Number | 1245323559
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Entity Type | Individual
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Provider Name | MICHAEL LAWRENCE SHERMAN DDS
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 5001 E BONANZA RD STE 160
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City | LAS VEGAS
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State | NV
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Zip | 89110-3560
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Country | US
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Telephone | 702-307-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 9935 FLETCHER PEAK AVE
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City | LAS VEGAS
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State | NV
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Zip | 89178-9336
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Country | US
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Telephone | 631-806-1275
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 045563
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7054
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License Number State | NV
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