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General NPI Number Information
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NPI Number | 1770721433
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Entity Type | Individual
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Provider Name | SHERRY L SHIRE-MISNIK CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 2500 INTERPLEX DR
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City | TREVOSE
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State | PA
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Zip | 19053-6943
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Country | US
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Telephone | 267-991-7601
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Fax | 267-991-7618
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Provider Business Mailing Address
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Address Line | 41 UNIVERSITY DR SUITE 300
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City | NEWTOWN
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State | PA
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Zip | 18940-1873
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Country | US
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Telephone | 215-710-5522
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Fax | 215-710-5181
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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 | UP006975C
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License Number State | PA
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