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General NPI Number Information
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NPI Number | 1215432935
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Entity Type | Individual
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Provider Name | AARON THOMAS SHARP MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 09/29/2021
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Provider Practice Location Address
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Address Line | 1760 EDGEWOOD AVE W
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City | JACKSONVILLE
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State | FL
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Zip | 32208-7209
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Country | US
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Telephone | 940-358-8480
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Fax |
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Provider Business Mailing Address
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Address Line | 1760 EDGEWOOD AVE W
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City | JACKSONVILLE
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State | FL
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Zip | 32208-7209
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Country | US
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Telephone | 940-358-8480
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME151872
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License Number State | FL
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