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General NPI Number Information
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NPI Number | 1427243245
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Entity Type | Individual
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Provider Name | MYLAINA LYN SHERWOOD M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2007
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 3415 MILLERS RUN RD
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City | CECIL
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State | PA
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Zip | 15321-1403
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Country | US
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Telephone | 724-873-7414
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Fax | 724-873-7421
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Provider Business Mailing Address
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Address Line | 95 LEONARD AVE BLDG 2
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City | WASHINGTON
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State | PA
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Zip | 15301-3368
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Country | US
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Telephone | 724-223-3100
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Fax | 724-223-3353
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ML002805
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License Number State | PA
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