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General NPI Number Information
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NPI Number | 1326091406
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Entity Type | Individual
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Provider Name | SHERI L EWING D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 11/30/2018
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Provider Practice Location Address
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Address Line | 629 W CLOVERLAND DR STE 1
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City | IRONWOOD
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State | MI
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Zip | 49938
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Country | US
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Telephone | 906-932-0032
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Fax |
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Provider Business Mailing Address
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Address Line | 325 E H ST
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City | IRON MOUNTAIN
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State | MI
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Zip | 49801-4760
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5101011849
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License Number State | MI
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