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General NPI Number Information
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NPI Number | 1548518350
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Entity Type | Individual
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Provider Name | PUJA SHARMA MD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/01/2024
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Provider Practice Location Address
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Address Line | 65 POULTNEY STREET WHITEHALL MEDICAL CENTER
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City | WHITEHALL
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State | NY
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Zip | 12887-1543
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Country | US
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Telephone | 518-499-2444
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Fax | 518-499-0317
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Provider Business Mailing Address
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Address Line | 100 PARK STREET GLENS FALLS HOSPITAL - CREDENTIALING
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City | GLENS FALLS
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State | NY
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Zip | 12801-4413
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Country | US
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Telephone | 518-926-6992
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Fax | 518-926-6983
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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 | 276006
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License Number State | NY
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