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General NPI Number Information
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NPI Number | 1417103359
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Entity Type | Individual
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Provider Name | SUZANNE JOSEPHINE SHERMAN MD
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Gender | Female
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Dates
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Enumeration Date | 08/12/2008
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 3912 FOREST HEIGHTS DR
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City | EAU CLAIRE
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State | WI
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Zip | 54701-3105
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Country | US
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Telephone | 701-403-4234
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Fax |
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Provider Business Mailing Address
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Address Line | 3912 FOREST HEIGHTS DR
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City | EAU CLAIRE
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State | WI
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Zip | 54701-3105
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Country | US
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Telephone | 701-403-4234
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA04536800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 25MA04536800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | G199575
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License Number State | CA
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