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General NPI Number Information
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NPI Number | 1922620871
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Entity Type | Individual
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Provider Name | ALEX EMILY SHERMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 5168 S BROADWAY
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City | ENGLEWOOD
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State | CO
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Zip | 80113-6706
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Country | US
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Telephone | 720-673-9371
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Fax |
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Provider Business Mailing Address
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Address Line | 375 S JACKSON ST APT 717
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City | DENVER
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State | CO
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Zip | 80209-3449
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Country | US
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Telephone | 513-465-6741
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN.00205001
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 30.026128
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DEN.00205001
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License Number State | CO
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