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General NPI Number Information
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NPI Number | 1295970598
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Entity Type | Individual
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Provider Name | SUSAN MARGUERITE SHARPE M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/16/2008
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 11110 MEDICAL CAMPUS RD STE 143
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6755
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Country | US
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Telephone | 301-714-4350
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Fax |
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Provider Business Mailing Address
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Address Line | 11110 MEDICAL CAMPUS RD STE 143
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6755
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Country | US
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Telephone | 301-714-4350
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 4301501556
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | D0099631
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License Number State | MD
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