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General NPI Number Information
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NPI Number | 1174086540
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Entity Type | Organization
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Legal Business Name | SHARPE WELLNESS & THERAPY LLC
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 528 SEVEN BRIDGE RD UNIT 101A
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-7621
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Country | US
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Telephone | 646-519-0472
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Fax |
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Provider Business Mailing Address
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Address Line | 707 CYPRESS DR
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City | EAST STROUDSBURG
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State | PA
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Zip | 18302-6657
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Country | US
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Telephone | 646-519-0472
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SARITA SHARPE
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Credential | MSPT
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Telephone | 646-519-0472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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