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General NPI Number Information
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NPI Number | 1396969903
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Entity Type | Individual
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Provider Name | RONALD EARL SHARP ED.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2743 N FRONT ST
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City | HARRISBURG
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State | PA
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Zip | 17110-1221
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Country | US
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Telephone | 717-238-7101
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Fax |
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Provider Business Mailing Address
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Address Line | 919 WILHELM RD
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City | HARRISBURG
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State | PA
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Zip | 17111-2108
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Country | US
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Telephone | 717-564-5908
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS002503
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License Number State | PA
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