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General NPI Number Information
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NPI Number | 1306041710
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Entity Type | Organization
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Legal Business Name | SANDEEP SHARMA, M.D., L.L.C.
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Dates
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Enumeration Date | 06/16/2007
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 9701 VEIRS DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-3414
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Country | US
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Telephone | 301-675-4279
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Fax |
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Provider Business Mailing Address
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Address Line | 11605 GLYNSHIRE CT
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City | POTOMAC
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State | MD
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Zip | 20854-2029
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Country | US
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Telephone | 301-675-4279
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Fax | 240-252-5752
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANDEEP SHARMA
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Credential | M.D.
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Telephone | 301-675-4279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0064624
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License Number State | MD
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