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General NPI Number Information
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NPI Number | 1235212549
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Entity Type | Individual
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Provider Name | SHARON DENISE REILEY NP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 2 SHIRCLIFF WAY STE 900
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4753
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Country | US
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Telephone | 904-381-9651
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Fax | 904-389-9319
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Provider Business Mailing Address
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Address Line | 6255 W SUNSET BLVD FL 21
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City | LOS ANGELES
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State | CA
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Zip | 90028-7422
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Country | US
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Telephone | 323-860-5200
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Fax | 323-467-7119
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2976972
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP2976972
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License Number State | FL
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