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General NPI Number Information
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NPI Number | 1326384041
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Entity Type | Individual
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Provider Name | SHARMILA CHOPRA
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Gender | Female
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Dates
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Enumeration Date | 12/27/2012
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 561 ROUTE 1 S PLEASE ENTER YOUR ADDRESS.
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City | EDISON
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State | NJ
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Zip | 08817-4400
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Country | US
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Telephone | 723-248-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 166 SUMMERHILL DR PLEASE ENTER YOUR ADDRESS.
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City | MORRIS PLAINS
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State | NJ
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Zip | 07950-1170
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Country | US
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Telephone | 817-793-3844
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DS039378
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DI02527500
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License Number State | NJ
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