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General NPI Number Information
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NPI Number | 1639978984
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Entity Type | Individual
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Provider Name | JEREMY SAMUEL SHERMAN NP
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Gender | Male
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 630 W 168TH ST STE 401
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 212-305-1021
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Fax |
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Provider Business Mailing Address
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Address Line | 4499 HENRY HUDSON PKWY APT 1C
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City | BRONX
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State | NY
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Zip | 10471-3849
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 356025
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License Number State | NY
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