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General NPI Number Information
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NPI Number | 1063055168
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Entity Type | Individual
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Provider Name | CHARU SHARMA
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Gender | Female
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Dates
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Enumeration Date | 10/21/2019
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 3434 CENTURY CENTER ST SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-3101
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Country | US
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Telephone | 616-724-2810
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Fax |
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Provider Business Mailing Address
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Address Line | 5305 DEBBIE CT SW
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City | WYOMING
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State | MI
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Zip | 49418-9764
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPI016165
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP456419
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5315108023
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | MA.004667
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.022939
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302041559
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License Number State | MI
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