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General NPI Number Information
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NPI Number | 1619719960
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Entity Type | Individual
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Provider Name | SHERRY MATHEW SAM
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Gender | Female
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Dates
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Enumeration Date | 06/08/2024
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 6617 FM 2920 RD
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City | SPRING
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State | TX
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Zip | 77379-2636
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Country | US
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Telephone | 346-220-3577
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Fax | 281-206-4487
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Provider Business Mailing Address
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Address Line | 18618 ROSLYN SPRINGS DR
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City | SPRING
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State | TX
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Zip | 77388-1402
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Country | US
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Telephone | 832-353-7373
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Fax | 281-206-4487
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1165935
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License Number State | TX
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