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General NPI Number Information
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NPI Number | 1114185782
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Entity Type | Individual
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Provider Name | DANIELLE N SHARON PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 6020 W MAPLE RD SUITE 501
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-4409
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Country | US
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Telephone | 248-212-9429
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Fax |
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Provider Business Mailing Address
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Address Line | 1028 CHAPIN AVE
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City | BIRMINGHAM
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State | MI
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Zip | 48009-4723
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Country | US
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Telephone | 248-212-9429
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY18410
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301013806
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License Number State | MI
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