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General NPI Number Information
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NPI Number | 1306577473
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Entity Type | Individual
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Provider Name | SHARAE ANN INMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 30 N GOULD ST STE 52139
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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Country | US
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Telephone | 307-225-6993
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Fax | 307-200-8473
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Provider Business Mailing Address
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Address Line | 2109 QUAIL RUN DR
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City | CORINTH
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State | TX
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Zip | 76208-5347
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Country | US
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Telephone | 940-595-5052
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA1261
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2791
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5692
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 10-14831
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0943
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License Number State | ND
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