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General NPI Number Information
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NPI Number | 1780965301
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Entity Type | Individual
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Provider Name | CHERRI NEAL NCAC, SAP/DOT, CASII
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Gender | Female
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Dates
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Enumeration Date | 09/09/2011
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Last Update Date | 09/09/2011
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Provider Practice Location Address
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Address Line | 1003 MEADOW WAY
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-1807
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Country | US
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Telephone | 805-709-3359
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1082
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City | PISMO BEACH
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State | CA
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Zip | 93448-1082
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Country | US
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Telephone | 805-709-3359
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | CA
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