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General NPI Number Information
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NPI Number | 1558481275
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Entity Type | Individual
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Provider Name | MICHELLE JUDY SHERMAN RPH, APH
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 34145 PACIFIC COAST HWY #211
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City | DANA POINT
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State | CA
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Zip | 92629-2808
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Country | US
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Telephone | 949-973-8560
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Fax | 509-271-6579
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Provider Business Mailing Address
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Address Line | 34145 PACIFIC COAST HWY #211
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City | DANA POINT
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State | CA
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Zip | 92629-2808
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Country | US
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Telephone | 949-973-8560
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Fax | 509-271-6579
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 10462
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH 41763
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License Number State | CA
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