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General NPI Number Information
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NPI Number | 1750358909
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Entity Type | Organization
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Legal Business Name | MR SHER MD INC
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 11200 SEMINOLE BLVD #310
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City | LARGO
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State | FL
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Zip | 33778-3239
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Country | US
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Telephone | 727-397-8557
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Fax | 727-397-4459
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Provider Business Mailing Address
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Address Line | 11200 SEMINOLE BLVD #310
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City | LARGO
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State | FL
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Zip | 33778-3239
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Country | US
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Telephone | 727-397-8557
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Fax | 727-397-4459
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Authorized Official
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Title or Position | PRESIDENT
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Name | MANDEL REID SHER
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Credential | MD
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Telephone | 727-397-8557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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