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General NPI Number Information
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NPI Number | 1356977557
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Entity Type | Individual
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Provider Name | POOJA SHARMA FNP
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Gender | Female
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 10828 HIGHWAY 57
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City | VANCLEAVE
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State | MS
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Zip | 39565-7845
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Country | US
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Telephone | 603-930-3933
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Fax |
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Provider Business Mailing Address
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Address Line | 819 GREYSTONE HIGHLANDS DR
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City | BIRMINGHAM
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State | AL
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Zip | 35242-2651
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Country | US
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Telephone | 603-930-3933
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 906888
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-174723
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License Number State | AL
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