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General NPI Number Information
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NPI Number | 1285120642
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Entity Type | Individual
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Provider Name | SHARMARKE MOHAMED ALI
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Gender | Male
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 3240 WHITFIELD AVE APT 308
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City | CINCINNATI
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State | OH
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Zip | 45220-2316
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Country | US
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Telephone | 614-592-2932
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Fax |
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Provider Business Mailing Address
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Address Line | 3240 WHITFIELD AVE APT 308
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City | CINCINNATI
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State | OH
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Zip | 45220-2316
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Country | US
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Telephone | 614-592-2932
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Fax | 614-737-5321
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | OH
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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 | 30.025441
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License Number State | OH
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