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General NPI Number Information
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NPI Number | 1285812446
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Entity Type | Individual
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Provider Name | MOHAMMED A SHARAF M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/09/2008
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 725 ALBANY STREET SHAPIRO 8B
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City | BOSTON
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State | MA
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Zip | 02118
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Country | US
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Telephone | 617-638-7420
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Fax |
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Provider Business Mailing Address
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Address Line | 720 HARRISON AVENUE DOB 503
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City | BOSTON
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State | MA
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Zip | 02118-2371
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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 |
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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 | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 247102
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 35 123477
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 47322
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 247102
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License Number State | MA
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