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General NPI Number Information
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NPI Number | 1760003644
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Entity Type | Individual
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Provider Name | PHILLIP JOHN SHERIDAN
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Gender | Male
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Dates
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Enumeration Date | 05/01/2020
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 1045 E STEWART AVE BLDG 2018
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City | PETERSON AFB
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State | CO
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Zip | 80914-2900
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Country | US
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Telephone | 719-556-1333
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Fax |
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Provider Business Mailing Address
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Address Line | 559 VINCENT ST. SPACE BASE DELTA 1
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City | PETERSON SPACE FORCE BASE
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State | CO
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Zip | 80914
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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 |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D14402
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License Number State | MN
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