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General NPI Number Information
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NPI Number | 1336509454
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Entity Type | Organization
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Legal Business Name | JOHN SHERRY DPM PLC
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Dates
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Enumeration Date | 03/02/2016
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Last Update Date | 03/02/2016
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Provider Practice Location Address
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Address Line | 1505 MALL DR
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City | IOWA CITY
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State | IA
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Zip | 52240-3111
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Country | US
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Telephone | 319-337-2135
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 MALL DR
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City | IOWA CITY
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State | IA
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Zip | 52240-3111
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Country | US
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Telephone | 319-337-2135
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | JOHN SHERRY
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Credential | DPM
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Telephone | 319-331-5194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | IA00426
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License Number State | IA
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