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General NPI Number Information
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NPI Number | 1184898074
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Entity Type | Organization
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Legal Business Name | PK SHARMA
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 2 DEAN DR STE 3N
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City | TENAFLY
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State | NJ
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Zip | 07670-2765
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Country | US
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Telephone | 201-567-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 2 DEAN DR STE 3N
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City | TENAFLY
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State | NJ
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Zip | 07670-2765
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PARMOD SHARMA
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Credential | MD
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Telephone | 201-567-4477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | MA41189
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License Number State | NJ
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