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General NPI Number Information
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NPI Number | 1932236361
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Entity Type | Individual
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Provider Name | SHERRY A NYKIEL MD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 24 VETERANS SQ
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City | MEDIA
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State | PA
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Zip | 19063-3155
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Country | US
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Telephone | 610-705-7520
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Fax |
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Provider Business Mailing Address
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Address Line | 24 VETERANS SQ
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City | MEDIA
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State | PA
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Zip | 19063-3155
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Country | US
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Telephone | 610-705-7520
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C1-001-2743
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 231847
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD458696
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License Number State | PA
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