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General NPI Number Information
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NPI Number | 1043274483
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Entity Type | Individual
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Provider Name | SHARON K. HARMON CRNA
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Gender | Female
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 1 WELLNESS BLVD SUITE 110
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City | IRMO
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State | SC
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Zip | 29063-2871
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Country | US
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Telephone | 843-839-5995
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 FISH HATCHERY RD
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City | GASTON
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State | SC
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Zip | 29053-9489
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Country | US
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Telephone | 808-218-4161
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APN 3647
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License Number State | SC
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