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General NPI Number Information
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NPI Number | 1710317870
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Entity Type | Organization
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Legal Business Name | SHERMAN DENTAL CARE PC
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 1827 TEXOMA PKWY STE 100
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City | SHERMAN
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State | TX
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Zip | 75090-2906
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Country | US
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Telephone | 443-629-3613
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Fax |
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Provider Business Mailing Address
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Address Line | 1827 TEXOMA PKWY STE 100
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City | SHERMAN
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State | TX
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Zip | 75090-2906
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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 | OWNER
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Name | OKEOMA UMEOZULU
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Credential |
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Telephone | 443-629-3613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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