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General NPI Number Information
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NPI Number | 1477723138
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Entity Type | Individual
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Provider Name | SHARON L GRANTHAM ARNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/08/2008
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 16410 HEALTHPARK COMMONS DR
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City | FORT MYERS
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State | FL
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Zip | 33908-9621
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Country | US
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Telephone | 239-343-9777
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Fax | 239-343-9789
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Provider Business Mailing Address
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Address Line | P.O. BOX 2147
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City | FT. MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-424-1400
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Fax | 239-424-1421
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN 3013362
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License Number State | FL
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