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General NPI Number Information
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NPI Number | 1013299346
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Entity Type | Individual
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Provider Name | PAULINE ANNE SHARMA PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 761 MAIN AVE SUITE 101
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City | NORWALK
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State | CT
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Zip | 06851-1080
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Country | US
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Telephone | 203-845-2244
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Fax | 203-845-2249
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Provider Business Mailing Address
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Address Line | 761 MAIN AVE SUITE 101
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City | NORWALK
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State | CT
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Zip | 06851-1080
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Country | US
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Telephone | 203-845-2244
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Fax | 203-845-2249
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 000701
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 006104
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 000701
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 006104
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 006104
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 000701
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License Number State | CT
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