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General NPI Number Information
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NPI Number | 1326495318
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Entity Type | Individual
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Provider Name | SHELLY SHARMA M.B.B.S.
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Gender | Female
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 2525A HOLLY HALL ST
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City | HOUSTON
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State | TX
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Zip | 77054-4124
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Country | US
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Telephone | 713-566-3757
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BAYLOR PLZ
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City | HOUSTON
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State | TX
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Zip | 77030-3411
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BP10057503
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | S7557
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License Number State | TX
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