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General NPI Number Information
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NPI Number | 1417573379
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Entity Type | Individual
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Provider Name | SYDNEY LEA SHARPE DNP, APRN, FNP
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Gender | Female
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 1110 MERCANTILE DR STE 100
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City | RALEIGH
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State | NC
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Zip | 27609-6881
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Country | US
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Telephone | 984-222-0026
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 MERCANTILE DR STE 100
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City | RALEIGH
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State | NC
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Zip | 27609-6881
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Country | US
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Telephone | 984-222-0026
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SHAR-IFEY1
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License Number State | NC
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