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General NPI Number Information
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NPI Number | 1437421997
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Entity Type | Individual
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Provider Name | SHEREFFA CLARKE D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 09/01/2020
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Provider Practice Location Address
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Address Line | 9741 PRESTON RD STE 300
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City | FRISCO
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State | TX
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Zip | 75033-2793
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Country | US
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Telephone | 972-335-2004
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Fax | 972-335-2037
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Provider Business Mailing Address
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Address Line | 7830 NW 54TH ST
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City | LAUDERHILL
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State | FL
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Zip | 33351-5055
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Country | US
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Telephone | 813-843-1865
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH10510
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13837
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License Number State | TX
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