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General NPI Number Information
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NPI Number | 1275679433
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Entity Type | Individual
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Provider Name | CHERYL ANNETTE EADS M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 887 N GARDNER ST STE A
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City | SCOTTSBURG
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State | IN
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Zip | 47170-1457
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Country | US
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Telephone | 502-741-5722
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 238
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City | JEFFERSONVILLE
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State | IN
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Zip | 47131-0238
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Country | US
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Telephone | 502-741-5722
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 37900
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 01062940A
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License Number State | IN
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