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General NPI Number Information
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NPI Number | 1255241113
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Entity Type | Organization
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Legal Business Name | SHARP MINDS MENTAL HEALTH LLC
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 14356 COUNTY ROAD 1571
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City | ADA
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State | OK
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Zip | 74820-7968
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Country | US
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Telephone | 580-246-4218
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Fax |
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Provider Business Mailing Address
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Address Line | 14356 COUNTY ROAD 1571
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City | ADA
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State | OK
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Zip | 74820-7968
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN SHARP
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Credential | MSN, APRN, PMHNP-BC
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Telephone | 580-495-7338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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