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General NPI Number Information
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NPI Number | 1912056110
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Entity Type | Organization
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Legal Business Name | YVONNE R S SHERRER MD PA
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 09/17/2007
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Provider Practice Location Address
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Address Line | 5333 N DIXIE HWY 110
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City | OAKLAND PARK
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State | FL
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Zip | 33334-3414
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Country | US
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Telephone | 954-229-7030
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Fax | 954-229-0963
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Provider Business Mailing Address
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Address Line | 5333 N DIXIE HWY 110
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City | OAKLAND PARK
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State | FL
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Zip | 33334-3414
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Country | US
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Telephone | 954-229-7030
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Fax | 954-229-0963
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PHYLLIS GLICKMAN
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Credential |
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Telephone | 954-229-7030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME0047088
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License Number State | FL
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