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General NPI Number Information
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NPI Number | 1669425310
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Entity Type | Organization
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Legal Business Name | ALFRED R SHERRY DCPA
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8007 LIBERTY RD
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City | BALTIMORE
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State | MD
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Zip | 21244
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Country | US
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Telephone | 410-521-2001
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Fax | 410-521-3249
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Provider Business Mailing Address
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Address Line | 8007 LIBERTY RD
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City | BALTIMORE
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State | MD
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Zip | 21244
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Country | US
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Telephone | 410-521-2001
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Fax | 410-521-3249
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Authorized Official
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Title or Position | OWNER DIRECTOR
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Name | ALFRED R SHERRY
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Credential | DCPA
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Telephone | 410-521-2001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | S01229
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License Number State | MD
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