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General NPI Number Information
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NPI Number | 1538504949
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Entity Type | Individual
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Provider Name | VIPUL SHARMA MD
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Gender | Male
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 61 INDUSTRIAL DR
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City | HAMBURG
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State | PA
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Zip | 19526-8768
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Country | US
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Telephone | 570-875-8035
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Fax |
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Provider Business Mailing Address
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Address Line | 61 INDUSTRIAL DR
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City | HAMBURG
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State | PA
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Zip | 19526-8768
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Country | US
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Telephone | 570-622-5616
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Fax | 570-622-5618
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | MD464412
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MD464412
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License Number State | PA
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