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General NPI Number Information
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NPI Number | 1295731024
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Entity Type | Individual
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Provider Name | M JANE SHARKEY LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 12/05/2019
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Provider Practice Location Address
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Address Line | 13537 WINDYHILL RD
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City | MINNETONKA
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State | MN
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Zip | 55305-1011
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Country | US
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Telephone | 952-484-4885
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Fax | 952-525-0702
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Provider Business Mailing Address
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Address Line | 5637 BROOKLYN BLVD
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City | BROOKLYN CENTER
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State | MN
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Zip | 55429-3061
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Country | US
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Telephone | 763-432-3926
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Fax | 952-525-0702
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1111
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License Number State | MN
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