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General NPI Number Information
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NPI Number | 1508928821
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Entity Type | Individual
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Provider Name | SHARON L KING M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 324 T B STANLEY HWY
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City | BASSETT
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State | VA
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Zip | 24055-6108
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Country | US
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Telephone | 276-629-1076
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Fax |
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Provider Business Mailing Address
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Address Line | 2825 SIENA HEIGHTS DR
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City | HENDERSON
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State | NV
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Zip | 89052-3976
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Country | US
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Telephone | 702-617-1227
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 73173
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 11798
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101254878
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD-14790
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License Number State | HI
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Taxonomy #5
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number | 2005-00432
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License Number State | NC
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