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General NPI Number Information
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NPI Number | 1396110920
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Entity Type | Organization
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Legal Business Name | ANJMUN SHARMA, PC
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 16055 OLD FOREST PT
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City | MONUMENT
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State | CO
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Zip | 80132-8670
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Country | US
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Telephone | 719-445-9852
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Fax | 888-390-1539
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Provider Business Mailing Address
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Address Line | 16055 OLD FOREST PT
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City | MONUMENT
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State | CO
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Zip | 80132-8670
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Country | US
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Telephone | 719-445-9852
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Fax | 888-390-1539
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANJMUN SHARMA
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Credential | MD
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Telephone | 719-313-8401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 46192
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License Number State | CO
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