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General NPI Number Information
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NPI Number | 1295999381
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Entity Type | Individual
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Provider Name | SABRY M SHARARA D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2436 MOUNDS VIEW BLVD STE 110
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City | SAINT PAUL
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State | MN
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Zip | 55112-1482
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Country | US
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Telephone | 763-432-3399
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Fax | 763-432-3541
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Provider Business Mailing Address
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Address Line | 2436 MOUNDS VIEW BLVD STE 110
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City | SAINT PAUL
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State | MN
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Zip | 55112-1482
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Country | US
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Telephone | 763-432-3399
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Fax | 763-432-3541
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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 | D12183
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License Number State | MN
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