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General NPI Number Information
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NPI Number | 1588370118
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Entity Type | Organization
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Legal Business Name | WARREN COUNTY
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 417 N HIGH STREET
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City | WEST LEBANON
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State | IN
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Zip | 47991-8100
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Country | US
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Telephone | 765-764-5855
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Fax |
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Provider Business Mailing Address
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Address Line | 417 N HIGH STREET
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City | WEST LEBANON
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State | IN
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Zip | 47991-8100
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Country | US
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Telephone | 765-764-5855
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Fax |
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | SEAN P. SHARMA
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Credential | MD
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Telephone | 765-764-5855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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