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General NPI Number Information
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NPI Number | 1932292877
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Entity Type | Organization
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Legal Business Name | WILLIAM B SHERMAN DDS PC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9500 B LEE HIGHWAY
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City | FAIRFAX
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State | VA
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Zip | 22031
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Country | US
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Telephone | 703-273-1033
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Fax | 703-273-1685
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Provider Business Mailing Address
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Address Line | 9500 B LEE HIGHWAY
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City | FAIRFAX
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State | VA
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Zip | 22031
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Country | US
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Telephone | 703-273-1033
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Fax | 703-273-1685
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM BLAIR SHERMAN
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Credential | DDS
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Telephone | 703-273-1033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 5026
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License Number State | VA
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