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General NPI Number Information
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NPI Number | 1528251469
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Entity Type | Organization
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Legal Business Name | DR GARRY SHERMAN DPM PA
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Dates
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Enumeration Date | 08/23/2007
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 101 MADISON AVE B2
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone | 973-359-4403
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Fax | 973-898-7311
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Provider Business Mailing Address
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Address Line | 101 MADISON AVE B2
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone | 973-359-4403
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Fax | 973-898-7311
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARRY SHERMAN
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Credential | MD DPM PA
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Telephone | 973-359-4403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0000X
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Taxonomy Name | Sports Medicine Podiatrist
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License Number | 25MD00080000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 25MD00080000
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License Number State | NJ
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