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General NPI Number Information
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NPI Number | 1386740314
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Entity Type | Individual
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Provider Name | DAVID HERMAN SCHERREIK O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 128 S PROSPECT ST
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City | BOWLING GREEN
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State | OH
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Zip | 43402-2904
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Country | US
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Telephone | 419-352-3882
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 288
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City | BOWLING GREEN
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State | OH
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Zip | 43402
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Country | US
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Telephone | 419-352-3882
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Fax | 419-352-1985
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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 | 3823/T775
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License Number State | OH
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