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General NPI Number Information
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NPI Number | 1811176571
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Entity Type | Individual
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Provider Name | CATHY JEAN SHERRER FNP
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Gender | Female
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 510 E GAY ST SUITE A
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City | WARRENSBURG
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State | MO
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Zip | 64093-1931
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Country | US
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Telephone | 660-647-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 103 ELM ST
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City | WINDSOR
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State | MO
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Zip | 65360-2013
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Country | US
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Telephone | 660-647-2898
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 093449
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License Number State | MO
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