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NPI 1194356220

NPI 1194356220 : JOSHUA LAWRENCE SHARPE DC : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1194356220
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA LAWRENCE SHARPE DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/28/2020
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    Last Update Date     |    01/28/2022
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Provider Practice Location Address
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    Address Line         |    7975 BADURA AVE STE 1005 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89113-2156
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    Country              |    US
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    Telephone            |    702-723-8272
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    Fax                  |    702-723-8272
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Provider Business Mailing Address
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    Address Line         |    1887 WHITNEY MESA DR # 9154 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89014-2069
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    Country              |    US
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    Telephone            |    702-723-8272
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    G6707574
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    License Number State |    NV
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