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General NPI Number Information
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NPI Number | 1245770189
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Entity Type | Individual
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Provider Name | SHERI DEAN
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Gender | Female
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Dates
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Enumeration Date | 02/26/2017
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 7702 GASTON PL
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City | GLEN BURNIE
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State | MD
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Zip | 21060-8623
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Country | US
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Telephone | 801-920-5561
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Fax |
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Provider Business Mailing Address
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Address Line | 46499 PORTO BELLO CT
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City | DRAYDEN
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State | MD
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Zip | 20630-3217
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Country | US
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Telephone | 801-920-5561
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN225561
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License Number State | MD
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