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NPI 1508943515

NPI 1508943515 : STEPHAN CHARLES SHARP MD : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1508943515
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHAN CHARLES SHARP MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    08/04/2014
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Provider Practice Location Address
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    Address Line         |    1916 PATTERSON ST SUITE 710
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37203-1845
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    Country              |    US
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    Telephone            |    615-329-1734
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    Fax                  |    615-329-1611
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Provider Business Mailing Address
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    Address Line         |    1500 CHURCH ST SUITE 100
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37203-3005
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    Country              |    US
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    Telephone            |    615-329-0197
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    Fax                  |    615-320-7883
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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        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    19021
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    207RE0101X
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    Taxonomy Name        |    Endocrinology, Diabetes & Metabolism Physician
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    License Number       |    019021
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    License Number State |    TN
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