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General NPI Number Information
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NPI Number | 1619105293
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Entity Type | Individual
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Provider Name | KARNA D SHERWOOD MD
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Gender | Male
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 2 SAINT ANTHONYS WAY STE 300
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City | ALTON
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State | IL
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Zip | 62002-4569
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Country | US
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Telephone | 618-463-0227
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Fax |
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Provider Business Mailing Address
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Address Line | 2 SAINT ANTHONYS WAY SUITE 305
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City | ALTON
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State | IL
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Zip | 62002-4569
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Country | US
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Telephone | 618-463-0227
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 036133471
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License Number State | IL
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