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General NPI Number Information
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NPI Number | 1528020880
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Entity Type | Individual
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Provider Name | BRIAN G SHERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 1401 CENTERVILLE RD SUITE 402
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4647
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Country | US
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Telephone | 850-671-5558
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Fax | 850-219-9741
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Provider Business Mailing Address
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Address Line | 1401 CENTERVILLE RD SUITE 402
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4647
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Country | US
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Telephone | 850-671-5558
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Fax | 850-219-9741
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 00020279
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD09000
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 76456
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | ME70608
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME70608
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License Number State | FL
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