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General NPI Number Information
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NPI Number | 1568382836
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Entity Type | Individual
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Provider Name | DIEUCLU-SHERBYBYTH PLACIDE MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | CARR #2 KM 47.7
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 614-671-1137
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 CHESTNUT RIDGE DR
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City | COLUMBUS
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State | OH
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Zip | 43230-8312
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Country | US
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Telephone |
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17826-I
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License Number State | PR
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