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General NPI Number Information
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NPI Number | 1720342165
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Entity Type | Individual
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Provider Name | SHERRY LU DPM
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Gender | Female
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Dates
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Enumeration Date | 06/29/2012
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Last Update Date | 02/13/2019
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Provider Practice Location Address
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Address Line | 13425 HOOVER CREEK BLVD SUITE 201
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City | CHARLOTTE
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State | NC
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Zip | 28273
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Country | US
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Telephone | 704-228-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 13425 HOOVER CREEK BLVD STE 201
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City | CHARLOTTE
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State | NC
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Zip | 28273-0054
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Country | US
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Telephone | 704-228-1350
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 619
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License Number State | NC
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