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General NPI Number Information
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NPI Number | 1528627437
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Entity Type | Individual
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Provider Name | SREE SARAH CHERIAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 26205 SEVILLE DR APT 104
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City | BEACHWOOD
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State | OH
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Zip | 44122-7599
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Country | US
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Telephone | 604-901-8692
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Fax |
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Provider Business Mailing Address
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Address Line | 26205 SEVILLE DR APT 104
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City | BEACHWOOD
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State | OH
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Zip | 44122-7599
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Country | US
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Telephone | 604-901-8692
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Fax |
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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 | 207ZM0300X
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Taxonomy Name | Medical Microbiology Physician
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License Number | 35.136666
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License Number State | OH
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