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General NPI Number Information
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NPI Number | 1568616852
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Entity Type | Individual
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Provider Name | PURVA SHARMA M.D
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Gender | Female
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 1090 AMSTERDAM AVE
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City | NEW YORK
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State | NY
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Zip | 10025-1737
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Country | US
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Telephone | 212-523-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 2843 37TH ST 2F
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City | ASTORIA
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State | NY
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Zip | 11103-4392
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Country | US
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Telephone | 860-597-2252
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Fax |
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 279583
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License Number State | NY
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