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General NPI Number Information
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NPI Number | 1023801636
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Entity Type | Individual
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Provider Name | SHUBHANGI SHARMA
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1020 N 12TH ST STE 102
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City | MILWAUKEE
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State | WI
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Zip | 53233-1308
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Country | US
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Telephone | 414-219-5561
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Fax |
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Provider Business Mailing Address
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Address Line | 8905 W LINCOLN AVE STE 505
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City | WEST ALLIS
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State | WI
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Zip | 53227-2470
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Country | US
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Telephone | 414-329-5921
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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