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General NPI Number Information
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NPI Number | 1275930224
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Entity Type | Individual
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Provider Name | SHEENA SHARMA D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/19/2014
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 366 W LAKE MEAD PKWY
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City | HENDERSON
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State | NV
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Zip | 89015-7286
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Country | US
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Telephone | 702-545-6126
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Fax |
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Provider Business Mailing Address
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Address Line | 366 W LAKE MEAD PKWY
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City | HENDERSON
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State | NV
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Zip | 89015-7286
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Country | US
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Telephone | 702-545-6126
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS104821
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6552
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License Number State | NV
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