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General NPI Number Information
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NPI Number | 1760788004
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Entity Type | Individual
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Provider Name | SHERRILL ANNE WASHINGTON NP
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Gender | Female
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Dates
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Enumeration Date | 02/03/2011
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Last Update Date | 02/03/2011
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Provider Practice Location Address
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Address Line | 1240 N. MISSION RD (INPATIENT TOWER) 3G 100 NSY
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City | LA
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State | CA
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Zip | 90033
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Country | US
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Telephone | 323-226-3406
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Fax | 323-226-3440
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Provider Business Mailing Address
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Address Line | 1240 N. MISSION RD (INPATIENT TOWER) 3G 100 NSY
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City | LA
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State | CA
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Zip | 90033
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Country | US
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Telephone | 323-226-3406
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Fax | 323-226-3440
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 235267
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License Number State | CA
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