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General NPI Number Information
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NPI Number | 1497827919
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Entity Type | Individual
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Provider Name | GLENN I SHARFIN MD
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 16259 SYLVESTER RD SW
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City | BURIEN
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State | WA
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Zip | 98166-3049
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Country | US
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Telephone | 206-965-2710
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Fax |
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Provider Business Mailing Address
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Address Line | 16259 SYLVESTER RD SW
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City | BURIEN
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State | WA
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Zip | 98166-3049
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Country | US
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Telephone | 206-965-2710
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME39636
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD60715090
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License Number State | WA
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