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General NPI Number Information
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NPI Number | 1164646014
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Entity Type | Individual
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Provider Name | SHARON MICHELE HENRY PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2554 SOLOMONS ISLAND RD # B-5
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City | ANNAPOLIS
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State | MD
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Zip | 21401-3710
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Country | US
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Telephone | 410-943-2484
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Fax |
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Provider Business Mailing Address
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Address Line | 1951 FOREST DR
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City | ANNAPOLIS
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State | MD
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Zip | 21401-4333
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Country | US
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Telephone | 443-534-9350
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C50012204
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0001973
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License Number State | MD
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