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General NPI Number Information
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NPI Number | 1407806375
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Entity Type | Individual
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Provider Name | KARUNA SHARMA MD
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 06/29/2020
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Provider Practice Location Address
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Address Line | 1820 41ST AVE STE C
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City | CAPITOLA
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State | CA
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Zip | 95010-2516
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Country | US
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Telephone | 831-684-7611
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Fax | 831-477-2009
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Provider Business Mailing Address
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Address Line | 3400 DATA DR ATTN CREDENTIALING/PAYER ENROLLMENT
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-7956
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01047963A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C140562
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License Number State | CA
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