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General NPI Number Information
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NPI Number | 1518467695
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Entity Type | Individual
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Provider Name | STEPHEN SHARP PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2018
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Last Update Date | 02/15/2018
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Provider Practice Location Address
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Address Line | 8005 EL CAMINO REAL
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City | ATASCADERO
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State | CA
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Zip | 93422-5211
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Country | US
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Telephone | 805-462-9272
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Fax |
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Provider Business Mailing Address
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Address Line | 1563 ETO CIR
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-7429
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Country | US
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Telephone | 805-440-7590
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Fax | 805-544-7531
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1193
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 49025
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License Number State | CA
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