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General NPI Number Information
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NPI Number | 1134298417
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Entity Type | Organization
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Legal Business Name | JENNIFER L SHARP-SAUNDERS MD PA
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 715 N JEFFERSON ST
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City | LA GRANGE
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State | TX
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Zip | 78945-1623
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Country | US
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Telephone | 979-968-3720
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Fax | 979-968-3774
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Provider Business Mailing Address
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Address Line | 715 N JEFFERSON ST
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City | LA GRANGE
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State | TX
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Zip | 78945-1623
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Country | US
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Telephone | 979-968-3720
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Fax | 979-968-3774
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | JENNIFER LEE SHARP-SAUNDERS
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Credential | MD
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Telephone | 979-968-3720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | L1980
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License Number State | TX
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