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General NPI Number Information
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NPI Number | 1679438881
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Entity Type | Individual
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Provider Name | SHEBA MARY CHERIAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 3003 W DR MARTIN LUTHER KING JR BLVD
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City | TAMPA
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State | FL
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Zip | 33607-6307
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Country | US
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Telephone | 813-554-8983
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Fax | 813-443-8177
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Provider Business Mailing Address
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Address Line | 3503 E FRONTAGE RD
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City | TAMPA
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State | FL
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Zip | 33607-1742
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Country | US
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Telephone | 813-586-8187
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Fax | 813-605-6228
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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 | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | PA9120293
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License Number State | FL
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