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General NPI Number Information
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NPI Number | 1003968041
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Entity Type | Organization
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Legal Business Name | SHARKEY-KOKOSKY,O.D.,P.C.
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 1935 CENTER ST
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City | NORTHAMPTON
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State | PA
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Zip | 18067-1362
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Country | US
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Telephone | 610-262-2091
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Fax | 610-262-2239
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Provider Business Mailing Address
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Address Line | 1935 CENTER ST
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City | NORTHAMPTON
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State | PA
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Zip | 18067-1362
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Country | US
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Telephone | 610-262-2091
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Fax | 610-262-2239
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Authorized Official
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Title or Position | OPTOMETRIST, PRESIDENT
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Name | DR. SHANNON SHARKEY
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Credential | O.D.
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Telephone | 610-262-2091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG000244
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License Number State | PA
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