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General NPI Number Information
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NPI Number | 1922081629
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Entity Type | Individual
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Provider Name | ALEXANDER SHERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 53 N PARK AVE SUITE#205
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4100
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Country | US
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Telephone | 516-764-0904
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Fax | 516-365-0656
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Provider Business Mailing Address
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Address Line | 53 N PARK AVE SUITE#205
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-4100
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Country | US
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Telephone | 516-764-0904
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Fax | 516-365-0656
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 199952
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License Number State | NY
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