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General NPI Number Information
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NPI Number | 1366780801
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Entity Type | Organization
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Legal Business Name | SHARP DIAGNOSTICS LLC
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 01/17/2013
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Provider Practice Location Address
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Address Line | 3333 S CONGRESS AVE STE 400
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City | DELRAY BEACH
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State | FL
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Zip | 33445-7346
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Country | US
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Telephone | 561-266-3851
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Fax | 561-266-3883
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Provider Business Mailing Address
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Address Line | 3333 S CONGRESS AVE STE 400
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City | DELRAY BEACH
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State | FL
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Zip | 33445-7346
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Country | US
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Telephone | 561-266-3851
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Fax | 561-266-3883
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL S FEDER
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Credential | D.C
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Telephone | 561-266-3851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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