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General NPI Number Information
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NPI Number | 1275560856
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Entity Type | Organization
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Legal Business Name | SHARON EMERGENCY MEDICINE PC
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 50 HOSPITAL HILL DRIVE ER DEPARTMENT
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City | SHARON
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State | CT
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Zip | 06069
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Country | US
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Telephone | 800-795-5820
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Fax | 616-975-9728
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Provider Business Mailing Address
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Address Line | PO BOX 753
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City | LAKEVILLE
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State | CT
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Zip | 06039
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Country | US
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Telephone | 866-898-7138
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ARTHUR CHIN
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Credential | MD
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Telephone | 860-364-4141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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