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General NPI Number Information
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NPI Number | 1316859739
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Entity Type | Individual
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Provider Name | SHARON HAZEL CARBAJAL PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 716 SEMINOLE BLVD
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City | LARGO
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State | FL
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Zip | 33770-3627
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Country | US
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Telephone | 727-238-3241
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Fax |
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Provider Business Mailing Address
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Address Line | 31357 AMBERVIEW BND
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-4519
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Country | US
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Telephone | 727-238-3241
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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 | 11050905
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License Number State | FL
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