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General NPI Number Information
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NPI Number | 1760527972
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Entity Type | Individual
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Provider Name | MICHAEL GEOFFREY SHERMAN DMD
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Gender | Male
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9850 GENESEE AVE STE 720
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City | LA JOLLA
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State | CA
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Zip | 92037-1218
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Country | US
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Telephone | 858-453-5525
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Fax | 858-453-1275
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Provider Business Mailing Address
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Address Line | 509 S SIERRA AVE UNIT 141
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2241
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Country | US
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Telephone | 858-453-5525
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Fax | 858-453-1275
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 54897
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License Number State | CA
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