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General NPI Number Information
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NPI Number | 1477683282
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Entity Type | Individual
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Provider Name | MANJU SHARMA-BEATTY MD
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 801 SENECA ST
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City | VENTURA
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State | CA
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Zip | 93001-1411
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Country | US
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Telephone | 805-653-6434
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 BEARD RD
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City | NAPA
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State | CA
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Zip | 94558-3442
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Country | US
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Telephone | 707-255-8825
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Fax | 707-252-9325
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A99167
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License Number State | CA
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