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General NPI Number Information
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NPI Number | 1295185718
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Entity Type | Individual
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Provider Name | FORREST SHERMAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 1500 OGLETHORPE AVE STE 600EF
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City | ATHENS
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State | GA
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Zip | 30606-2179
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Country | US
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Telephone | 706-613-5980
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 E. MEDICAL CENTER DRIVE D3230 MPB, SPC 5718
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City | ANN ARBOR
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State | MI
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Zip | 48109-5718
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Country | US
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Telephone | 734-763-9251
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Fax | 734-763-4208
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 4301109798
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 91924
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License Number State | GA
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