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General NPI Number Information
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NPI Number | 1740689181
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Entity Type | Individual
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Provider Name | DAVID SHERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 12/23/2019
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Provider Practice Location Address
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Address Line | 8350 STATE ROUTE 30
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City | DITTMER
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State | MO
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Zip | 63023-1909
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Country | US
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Telephone | 314-392-3822
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 NW 23RD BLVD APT N95
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City | GAINESVILLE
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State | FL
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Zip | 32605-5937
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Country | US
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Telephone | 660-233-2209
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME130343
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | ME130343
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 2016037447
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License Number State | MO
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