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General NPI Number Information
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NPI Number | 1346279072
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Entity Type | Organization
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Legal Business Name | DENNIS P. SHERRERD, OD,PC
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 220 W 39TH ST
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City | KEARNEY
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State | NE
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Zip | 68845-2802
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Country | US
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Telephone | 308-234-9913
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Fax |
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Provider Business Mailing Address
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Address Line | 220 W 39TH ST
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City | KEARNEY
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State | NE
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Zip | 68845-2802
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Country | US
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Telephone | 308-234-9913
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENNIS P SHERRERD
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Credential | O.D.
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Telephone | 308-234-9913
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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 | 761
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License Number State | NE
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