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General NPI Number Information
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NPI Number | 1366890857
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Entity Type | Individual
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Provider Name | STEVEN JAMES SHARP M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2016
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 3249 OAK PARK AVE
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City | BERWYN
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State | IL
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Zip | 60402-3429
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Country | US
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Telephone | 708-783-2226
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Fax |
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Provider Business Mailing Address
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Address Line | 6505 AIRPORT BLVD STE 100
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City | AUSTIN
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State | TX
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Zip | 78752-3630
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Country | US
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Telephone | 512-458-2437
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Fax | 833-393-3915
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | S4390
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 3161
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD61537401
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036165598
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License Number State | IL
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