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General NPI Number Information
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NPI Number | 1336955368
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Entity Type | Individual
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Provider Name | SHERIN MARY ANISH DDS
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Gender | Female
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2009 S HURON PKWY APT 9
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City | ANN ARBOR
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State | MI
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Zip | 48104-4161
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Country | US
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Telephone | 269-281-6525
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Fax |
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Provider Business Mailing Address
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Address Line | 48 ROSE HILL WAY
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City | ASTON
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State | PA
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Zip | 19014-1077
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Country | US
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Telephone | 269-281-6525
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS045114
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS045114
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License Number State | PA
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