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NPI 1003425976

NPI 1003425976 : RAJ KUMAR SHARMA : MERCED, CA

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General NPI Number Information
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    NPI Number           |    1003425976
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    Entity Type          |    Individual 
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    Provider Name        |    RAJ KUMAR SHARMA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/27/2020
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    360 E YOSEMITE AVE STE 200 
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    City                 |    MERCED
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    State                |    CA
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    Zip                  |    95340-8201
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    Country              |    US
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    Telephone            |    209-354-4675
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    Fax                  |    209-354-4681
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Provider Business Mailing Address
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    Address Line         |    7471 N FRESNO ST 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-2457
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    Country              |    US
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    Telephone            |    559-436-4500
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    Fax                  |    559-261-1526
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    95014756
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    License Number State |    CA
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