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General NPI Number Information
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NPI Number | 1588734313
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Entity Type | Individual
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Provider Name | SHERWIN B. PEVAROFF DDS, MS.
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Gender | Male
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 247 BILTMORE AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4107
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Country | US
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Telephone | 828-350-1076
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Fax |
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Provider Business Mailing Address
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Address Line | 17 PANTHER RIDGE RD
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-9291
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Country | US
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Telephone | 828-712-0001
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 8151
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License Number State | NC
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