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General NPI Number Information
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NPI Number | 1578744496
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Entity Type | Organization
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Legal Business Name | SHARON F. BILLON, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 207 BRIDGE ST
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-3311
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Country | US
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Telephone | 805-481-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 207 BRIDGE ST
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City | ARROYO GRANDE
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State | CA
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Zip | 93420-3311
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Country | US
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Telephone | 805-481-5100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHARON F. BILLON
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Credential | M.D.
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Telephone | 805-481-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | G30339
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License Number State | CA
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