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General NPI Number Information
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NPI Number | 1407421795
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Entity Type | Organization
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Legal Business Name | SHARON CASON CARD CONSULTATION
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 2411 HICKS RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5420
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Country | US
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Telephone | 804-400-9850
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Fax | 804-330-7024
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Provider Business Mailing Address
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Address Line | 2411 HICKS RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5420
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Country | US
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Telephone | 804-400-9850
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Fax | 804-330-7024
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Authorized Official
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Title or Position | SERVICE FACILITATOR
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Name | SHARON CASONCARD
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Credential |
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Telephone | 804-400-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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