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General NPI Number Information
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NPI Number | 1457295438
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Entity Type | Individual
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Provider Name | SHARU BEY
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Gender | Male
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Dates
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Enumeration Date | 04/18/2026
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Last Update Date | 04/18/2026
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Provider Practice Location Address
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Address Line | 48 SELMA DR STE AANDB
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City | MOORESVILLE
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State | NC
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Zip | 28115-2129
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Country | US
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Telephone | 980-389-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 3021 BRADY HOFFMAN RD
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City | LINCOLNTON
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State | NC
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Zip | 28092-8220
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Country | US
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Telephone | 828-578-2409
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 2022-9540-01
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License Number State | NC
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