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General NPI Number Information
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NPI Number | 1700172129
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Entity Type | Individual
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Provider Name | JERRY CHERY D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 1515 26TH AVE E
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City | BRADENTON
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State | FL
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Zip | 34208-7707
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Country | US
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Telephone | 941-708-7607
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Fax | 941-708-7618
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Provider Business Mailing Address
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Address Line | PO BOX 997
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City | PALMETTO
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State | FL
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Zip | 34220-0997
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Country | US
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Telephone | 941-776-4000
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Fax | 941-776-4013
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN19659
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License Number State | FL
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