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General NPI Number Information
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NPI Number | 1548218134
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Entity Type | Individual
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Provider Name | RICHARD S SHERRY MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 4915 E BASELINE RD SUITE 116
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City | GILBERT
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State | AZ
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Zip | 85234
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Country | US
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Telephone | 480-354-9200
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Fax | 480-354-9201
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Provider Business Mailing Address
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Address Line | 2653 W GUADALUPE ROAD SUITE 201
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City | MESA
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State | AZ
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Zip | 85202
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Country | US
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Telephone | 480-889-3500
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Fax | 480-889-3502
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 21626
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License Number State | AZ
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