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General NPI Number Information
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NPI Number | 1174370878
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Entity Type | Organization
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Legal Business Name | KRISTIN SHARMA, LLC
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Dates
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Enumeration Date | 05/01/2024
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 122 CUPSAW DR
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City | RINGWOOD
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State | NJ
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Zip | 07456-2306
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Country | US
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Telephone | 201-694-1075
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22
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City | RINGWOOD
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State | NJ
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Zip | 07456-0022
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Country | US
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Telephone | 201-694-1075
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | KRISTIN SHARMA
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Credential |
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Telephone | 201-694-1075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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