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General NPI Number Information
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NPI Number | 1508665811
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Entity Type | Organization
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Legal Business Name | SHARON DIAMOND APRN WOUND CARE LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 6637 9 IRON CT
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-3724
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Country | US
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Telephone | 813-787-7445
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Fax |
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Provider Business Mailing Address
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Address Line | 6637 9 IRON CT
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-3724
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Country | US
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Telephone | 813-787-7445
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | SHARON LISA DIAMOND
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Credential | APRN
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Telephone | 813-787-7445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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