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General NPI Number Information
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NPI Number | 1205489283
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Entity Type | Individual
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Provider Name | SHARON MARIA MATHEW PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/19/2019
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 1201 E 93RD STREET
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City | BONHAM
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State | TX
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Zip | 75418
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Country | US
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Telephone | 214-742-8387
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 E 93RD ST APT 104
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City | TULSA
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State | OK
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Zip | 74137-4604
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Country | US
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Telephone | 678-769-9112
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 16070
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License Number State | NE
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