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General NPI Number Information
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NPI Number | 1306546254
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Entity Type | Individual
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Provider Name | PRASANNA SHARMA MSN, APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 551 S INTERSTATE 35 STE 303
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City | ROUND ROCK
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State | TX
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Zip | 78664-2820
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Country | US
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Telephone | 512-758-6354
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Fax | 949-703-8408
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Provider Business Mailing Address
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Address Line | 8140 N MOPAC EXPY STE 150
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City | AUSTIN
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State | TX
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Zip | 78759-8837
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1112509
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License Number State | TX
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