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General NPI Number Information
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NPI Number | 1851632392
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Entity Type | Individual
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Provider Name | SHERRY JOHNSON D.O. FACS
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Gender | Female
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 3851 PIPER ST STE U462
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City | ANCHORAGE
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State | AK
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Zip | 99508-6905
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Country | US
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Telephone | 907-562-6262
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Fax | 907-562-6267
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Provider Business Mailing Address
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Address Line | 3851 PIPER ST STE U462
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City | ANCHORAGE
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State | AK
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Zip | 99508-6905
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Country | US
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Telephone | 907-562-6262
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Fax | 907-562-6267
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E-11311
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 5101020479
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 143303
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License Number State | AK
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