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General NPI Number Information
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NPI Number | 1427794254
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Entity Type | Individual
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Provider Name | SHARON CREIGHTON PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/05/2022
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 7900 FANNIN ST STE 4000
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City | HOUSTON
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State | TX
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Zip | 77054-2935
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Country | US
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Telephone | 832-289-0535
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Fax |
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Provider Business Mailing Address
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Address Line | 18211 GROVE BROOK LN
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City | CYPRESS
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State | TX
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Zip | 77429-4993
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA15839
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License Number State | TX
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