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General NPI Number Information
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NPI Number | 1245692979
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Entity Type | Individual
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Provider Name | AVIJIT SHARMA MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 33747 N SCOTTSDALE RD STE 135
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-1566
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Country | US
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Telephone | 602-795-8700
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Fax | 602-795-8701
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Provider Business Mailing Address
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Address Line | 20280 N 59TH AVE STE 115-617
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City | GLENDALE
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State | AZ
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Zip | 85308-6850
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Country | US
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Telephone | 602-795-8700
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Fax | 602-795-8701
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 282641
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 63122
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License Number State | AZ
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