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General NPI Number Information
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NPI Number | 1568914497
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Entity Type | Individual
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Provider Name | SHARON VOSS PMHNP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 1233 EDGEWATER ST NW
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City | SALEM
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State | OR
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Zip | 97304-4049
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Country | US
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Telephone | 503-375-7526
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Fax |
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Provider Business Mailing Address
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Address Line | 1233 EDGEWATER ST NW
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City | SALEM
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State | OR
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Zip | 97304-4049
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Country | US
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Telephone | 503-375-7526
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 201142199RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201902030NP-PP
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License Number State | OR
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