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General NPI Number Information
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NPI Number | 1497949184
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Entity Type | Organization
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Legal Business Name | JON R. SHERMAN MD., INC
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 1400 N HARBOR BLVD SUITE 100
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City | FULLERTON
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State | CA
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Zip | 92835-4126
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Country | US
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Telephone | 714-578-0533
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Fax | 714-578-0548
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Provider Business Mailing Address
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Address Line | PO BOX 5664
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City | FULLERTON
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State | CA
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Zip | 92838-0664
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Country | US
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Telephone | 714-578-0533
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Fax | 714-578-0548
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Authorized Official
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Title or Position | OWNER
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Name | DR. JON R SHERMAN
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Credential | MD
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Telephone | 714-578-0533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A49871
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License Number State | CA
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