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General NPI Number Information
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NPI Number | 1457709628
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Entity Type | Individual
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Provider Name | GAURAV SHARAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2016
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Last Update Date | 04/06/2025
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Provider Practice Location Address
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Address Line | 5200 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-1501
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Country | US
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Telephone | 469-207-3563
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Fax | 214-645-0078
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Provider Business Mailing Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-9087
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Country | US
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Telephone | 469-207-3563
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Fax | 214-645-0078
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 21851
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | T1551
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License Number State | TX
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