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NPI 1104840107

NPI 1104840107 : E. SHARON HANES NP : AUBURN, NY

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General NPI Number Information
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    NPI Number           |    1104840107
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    Entity Type          |    Individual 
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    Provider Name        |    E. SHARON HANES NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    77 NELSON ST SUITE 310
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    City                 |    AUBURN
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    State                |    NY
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    Zip                  |    13021-1944
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    Country              |    US
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    Telephone            |    315-253-4463
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    Fax                  |    315-253-5624
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Provider Business Mailing Address
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    Address Line         |    77 NELSON ST SUITE 310
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    City                 |    AUBURN
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    State                |    NY
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    Zip                  |    13021-1944
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    Country              |    US
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    Telephone            |    315-253-4463
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    Fax                  |    315-253-5624
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    F331700-1
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    License Number State |    NY
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