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General NPI Number Information
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NPI Number | 1245204197
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Entity Type | Individual
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Provider Name | SAMEER SHARMA MD
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Gender | Male
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 11/22/2021
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Provider Practice Location Address
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Address Line | 975 PORT WASHINGTON RD
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City | GRAFTON
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State | WI
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Zip | 53024-9201
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Country | US
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Telephone | 262-329-8100
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Fax | 262-329-8101
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Provider Business Mailing Address
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Address Line | 3301 W FOREST HOME AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-2843
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Country | US
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Telephone | 262-329-8100
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Fax | 262-329-8101
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 50600
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License Number State | WI
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