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General NPI Number Information
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NPI Number | 1225160500
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Entity Type | Organization
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Legal Business Name | SATISH SHARMA
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5375 S FORT APACHE RD STE 102
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City | LAS VEGAS
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State | NV
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Zip | 89148-7623
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Country | US
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Telephone | 702-739-8323
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Fax | 702-736-1284
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Provider Business Mailing Address
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Address Line | 5375 S FORT APACHE RD STE 102
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City | LAS VEGAS
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State | NV
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Zip | 89148-7623
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Country | US
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Telephone | 702-739-8323
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Fax | 702-736-1284
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Authorized Official
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Title or Position | OWNER
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Name | SATISH SHARMA
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Credential | MD
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Telephone | 702-739-8323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 2000405-650
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License Number State | NV
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