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General NPI Number Information
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NPI Number | 1811923808
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Entity Type | Individual
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Provider Name | MELVYN SHERMAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 04/25/2014
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Provider Practice Location Address
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Address Line | 1316 N. STATE RD 7
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City | MARGATE
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State | FL
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Zip | 33063-2843
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Country | US
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Telephone | 954-968-9993
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Fax | 954-968-9910
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Provider Business Mailing Address
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Address Line | 7800 W OAKLAND PARK BLVD SUITE E-214
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City | SUNRISE
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State | FL
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Zip | 33351-6741
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Country | US
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Telephone | 954-318-6590
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Fax | 954-318-6604
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS0003875
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | OS3875
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License Number State | FL
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