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NPI 1801995808

NPI 1801995808 : SHERRIE BERNARDIN R.N., C.N.O.R. : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1801995808
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    Entity Type          |    Individual 
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    Provider Name        |    SHERRIE BERNARDIN R.N., C.N.O.R.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/22/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    7150 GREENVILLE AVE SUITE 310
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-7900
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    Country              |    US
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    Telephone            |    214-368-3223
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    Fax                  |    214-368-3177
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Provider Business Mailing Address
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    Address Line         |    614 HARVEST GLEN DR 
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    City                 |    RICHARDSON
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    State                |    TX
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    Zip                  |    75081-5607
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    Country              |    US
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    Telephone            |    972-644-8725
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    Fax                  |    214-368-3177
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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        |    163WR0006X
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    Taxonomy Name        |    Registered Nurse First Assistant
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    License Number       |    236211
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    License Number State |    TX
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