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General NPI Number Information
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NPI Number | 1336474410
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Entity Type | Individual
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Provider Name | KRISTOPHER SHERRILL O.D
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Gender | Male
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 2760 ELIZABETH WARREN AVE STE B4
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City | BUTTE
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State | MT
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Zip | 59701-3979
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Country | US
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Telephone | 406-792-1250
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Fax | 406-541-3811
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Provider Business Mailing Address
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Address Line | 700 W KENT AVE
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City | MISSOULA
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State | MT
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Zip | 59801-6772
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Country | US
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Telephone | 406-396-5065
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 827
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License Number State | MT
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