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General NPI Number Information
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NPI Number | 1235477910
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Entity Type | Individual
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Provider Name | ELHAM SHARIF MSPO, CPO, CPED
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Gender | Female
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Dates
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Enumeration Date | 01/30/2013
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 2755 BRISTOL ST STE 110
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City | COSTA MESA
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State | CA
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Zip | 92626-5985
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Country | US
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Telephone | 949-455-0404
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Fax | 949-266-8182
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Provider Business Mailing Address
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Address Line | 56 SEQUOIA TREE LN
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City | IRVINE
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State | CA
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Zip | 92612-2227
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Country | US
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Telephone | 949-412-2633
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Fax | 949-266-8182
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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 | 1744P3200X
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Taxonomy Name | Prosthetics Case Management
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | CPO05605
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 224L00000X
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Taxonomy Name | Pedorthist
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License Number | CPED4123
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License Number State |
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Taxonomy #4
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | CPO05605
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License Number State | CA
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