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General NPI Number Information
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NPI Number | 1992881379
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Entity Type | Individual
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Provider Name | ALAN DOUGLAS SHERMAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 22235 SHERMAN WAY SUITE 100
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City | CANOGA PARK
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State | CA
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Zip | 91303-1048
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Country | US
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Telephone | 818-888-8058
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Fax | 818-702-6289
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Provider Business Mailing Address
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Address Line | 22235 SHERMAN WAY STE 100
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City | CANOGA PARK
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State | CA
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Zip | 91303-1048
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Country | US
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Telephone | 818-888-8058
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Fax | 818-702-6289
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | DC22162
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License Number State | CA
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