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General NPI Number Information
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NPI Number | 1518999309
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Entity Type | Organization
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Legal Business Name | SHERMAN DON MD INC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 17732 BEACH BLVD STE C
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-6881
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Country | US
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Telephone | 714-557-6364
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Fax |
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Provider Business Mailing Address
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Address Line | 11100 WARNER AVENUE # 308
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-557-6364
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHERMAN DON
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Credential | MD
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Telephone | 714-557-6364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | G13732
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License Number State | CA
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