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General NPI Number Information
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NPI Number | 1982015954
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Entity Type | Individual
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Provider Name | CAMERON SCOTT SHERRILL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 809 UNIVERSITY BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35401
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Country | US
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Telephone | 601-604-0861
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Fax |
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Provider Business Mailing Address
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Address Line | 1761 COMMONS NORTH LOOP UNIT 2202
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City | TUSCALOOSA
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State | AL
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Zip | 35406-3585
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Country | US
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Telephone | 601-604-0861
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2017-01652
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 1982015954
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 1982015954
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD.36953
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License Number State | AL
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