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General NPI Number Information
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NPI Number | 1467349993
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Entity Type | Individual
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Provider Name | SHARMILA BRADSHAW FNP
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Gender | Female
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 430 WATERSTONE DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-9078
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Country | US
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Telephone | 984-215-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 201 BRIARWOOD DR
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City | MEBANE
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State | NC
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Zip | 27302-7101
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Country | US
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Telephone | 910-584-4722
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | F06251276
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License Number State | NC
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