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General NPI Number Information
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NPI Number | 1790546117
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Entity Type | Organization
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Legal Business Name | SHERRY LYNN FIEMAN, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 1240 S. WESTLAKE BLVD. 122
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361
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Country | US
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Telephone | 805-494-6552
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 S. WESTLAKE BLVD. 122
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361
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Country | US
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Telephone | 805-494-6552
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHERRY LYNN FIEMAN
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Credential | M.D.
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Telephone | 805-494-6552
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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 |
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