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General NPI Number Information
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NPI Number | 1497762165
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Entity Type | Organization
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Legal Business Name | SHERRY EYE CLINIC, P.C.
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2408 N COMMERCE ST
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City | ARDMORE
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State | OK
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Zip | 73401-1356
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Country | US
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Telephone | 580-226-3100
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Fax | 580-223-6628
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Provider Business Mailing Address
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Address Line | 2408 N COMMERCE ST
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City | ARDMORE
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State | OK
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Zip | 73401-1356
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Country | US
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Telephone | 580-226-3100
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Fax | 580-223-6628
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEAN M SHERRY
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Credential | M.D.
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Telephone | 580-226-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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