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General NPI Number Information
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NPI Number | 1255635033
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Entity Type | Organization
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Legal Business Name | SHARMA MEDICAL CLINIC INC.
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 323 LEXINGTON STREET
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City | DELANO
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State | CA
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Zip | 93215-0000
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Country | US
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Telephone | 661-725-2512
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Fax | 661-725-2586
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Provider Business Mailing Address
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Address Line | 11900 HARRINGTON ST
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9277
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Country | US
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Telephone | 661-725-2512
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Fax | 661-725-2586
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | RAHUL SHARMA
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Credential | MD
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Telephone | 661-725-2512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | A725320
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License Number State | CA
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