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General NPI Number Information
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NPI Number | 1336153634
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Entity Type | Individual
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Provider Name | SHARAD CHANDRIKA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 12/03/2018
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Provider Practice Location Address
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Address Line | 14200 W CELEBRATE LIFE WAY
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City | GOODYEAR
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State | AZ
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Zip | 85338-3007
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Country | US
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Telephone | 623-207-3240
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Fax |
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Provider Business Mailing Address
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Address Line | 9910 FRANKLIN SQUARE DR STE 2110
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City | BALTIMORE
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State | MD
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Zip | 21236-4902
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Country | US
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Telephone | 623-207-3240
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD429770
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | MD429770
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 47420
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D86251
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License Number State | MD
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