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General NPI Number Information
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NPI Number | 1710050430
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Entity Type | Individual
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Provider Name | SHERRY TURCOTTE
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1313 S RANGE LINE RD
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City | JOPLIN
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State | MO
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Zip | 64801-5588
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Country | US
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Telephone | 417-623-2207
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Fax |
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Provider Business Mailing Address
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Address Line | 4569 SW HIGHWAY 166
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City | COLUMBUS
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State | KS
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Zip | 66725-8404
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Country | US
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Telephone | 417-793-9351
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | R1G92
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License Number State | MO
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