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General NPI Number Information
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NPI Number | 1588750210
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Entity Type | Individual
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Provider Name | SHARON WERMUT P.T.
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14144 VENTURA BLVD. SUITE 120
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2763
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Country | US
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Telephone | 818-789-4959
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Fax | 818-789-4979
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Provider Business Mailing Address
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Address Line | 5920 JULIAN LANE
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City | TARZANA
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State | CA
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Zip | 91356-1148
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Country | US
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Telephone | 818-789-4959
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Fax | 818-789-4979
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT7582
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License Number State | CA
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