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General NPI Number Information
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NPI Number | 1578241774
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Entity Type | Individual
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Provider Name | DR. OSMAN MUHAMMD SHAREEF
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Gender | Male
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Dates
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Enumeration Date | 07/07/2023
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 370 CODDINGTOWN CTR
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City | SANTA ROSA
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State | CA
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Zip | 95401-3507
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Country | US
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Telephone | 707-867-1310
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Fax |
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Provider Business Mailing Address
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Address Line | 100 WALLER ST APT 439
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-6384
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Country | US
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Telephone | 212-998-9800
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 112144
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License Number State | CA
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