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General NPI Number Information
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NPI Number | 1063213528
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Entity Type | Individual
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Provider Name | ANNA CORINNE SHARP LCDC
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Gender | Female
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 703 W PATTEN ST
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City | MINEOLA
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State | TX
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Zip | 75773-1541
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Country | US
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Telephone | 903-535-7366
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 RAINTREE LAKES CIR
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City | BIG SANDY
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State | TX
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Zip | 75755-3602
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Country | US
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Telephone | 903-841-8315
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 9883
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License Number State | TX
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