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General NPI Number Information
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NPI Number | 1396107520
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Entity Type | Individual
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Provider Name | AVINASH VARADARAJ SHARMA MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2016
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 700 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-3602
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Country | US
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Telephone | 714-245-1444
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Fax | 714-953-6604
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Provider Business Mailing Address
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Address Line | 700 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-3602
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Country | US
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Telephone | 714-245-1444
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Fax | 147-953-6604
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A161967
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | A161967
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License Number State | CA
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