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General NPI Number Information
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NPI Number | 1962834473
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Entity Type | Individual
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Provider Name | SHERYL ANN CHISHOLM RP
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Gender | Female
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 2907 WHITNEY ST
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City | ATLANTIC
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State | IA
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Zip | 50022-9772
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Country | US
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Telephone | 712-243-3071
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Fax |
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Provider Business Mailing Address
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Address Line | 2907 WHITNEY ST
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City | ATLANTIC
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State | IA
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Zip | 50022-9772
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Country | US
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Telephone | 712-243-3071
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17914
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10863
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2008029223
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License Number State | MO
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