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General NPI Number Information
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NPI Number | 1417856089
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Entity Type | Individual
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Provider Name | SHARNAE TIANNA EGEA CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 240 N RADNOR CHESTER RD
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City | RADNOR
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State | PA
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Zip | 19087-5170
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Country | US
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Telephone | 610-425-9182
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Fax |
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Provider Business Mailing Address
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Address Line | 131 VOYAGER DR
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City | DEPTFORD
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State | NJ
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Zip | 08096-6834
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Country | US
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Telephone | 856-602-1192
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ15694500
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License Number State | NJ
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