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General NPI Number Information
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NPI Number | 1215207469
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Entity Type | Organization
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Legal Business Name | ANNU G. SHARMA, M.D. INC.
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 15785 LAGUNA CANYON RD SUITE 215
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City | IRVINE
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State | CA
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Zip | 92618-3165
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Country | US
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Telephone | 949-753-0901
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Fax | 949-753-7443
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Provider Business Mailing Address
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Address Line | 15785 LAGUNA CANYON RD SUITE 215
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City | IRVINE
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State | CA
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Zip | 92618-3165
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Country | US
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Telephone | 949-753-0901
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Fax | 949-753-7443
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Authorized Official
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Title or Position | PEDIATRICIAN
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Name | DR. ANNU G. SHARMA
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Credential | M.D.
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Telephone | 949-753-0901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A43676
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License Number State | CA
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