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General NPI Number Information
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NPI Number | 1508942574
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Entity Type | Individual
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Provider Name | RAKESH KUMAR SHARMA M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 360 HAWKINS AVE
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City | RONKONKOMA
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State | NY
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Zip | 11779-4243
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Country | US
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Telephone | 631-588-8393
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Fax | 631-588-2312
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Provider Business Mailing Address
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Address Line | 49 CABRIOLET LN
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City | MELVILLE
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State | NY
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Zip | 11747-1921
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Country | US
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Telephone | 631-367-1338
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Fax | 631-588-8231
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 161670
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License Number State | NY
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