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General NPI Number Information
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NPI Number | 1407749419
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Entity Type | Organization
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Legal Business Name | SHARON FAMILY MEDICINE
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 1500 N STEPHENSON HWY
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City | ROYAL OAK
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State | MI
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Zip | 48067-1580
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Country | US
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Telephone | 313-804-7454
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Fax |
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Provider Business Mailing Address
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Address Line | 9952 PARK AVE
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City | ALLEN PARK
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State | MI
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Zip | 48101-3712
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Country | US
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Telephone | 313-804-7454
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. JESSICA METTES
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Credential | DO
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Telephone | 313-804-7454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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