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General NPI Number Information
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NPI Number | 1588676175
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Entity Type | Individual
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Provider Name | SHAREEN LOHSE PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 8320 W SUNRISE BLVD STE 205
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City | PLANTATION
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State | FL
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Zip | 33322-5432
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Country | US
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Telephone | 800-640-3451
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Fax |
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Provider Business Mailing Address
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Address Line | 439 S PLEASANT GROVE BLVD STE 3
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3493
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Country | US
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Telephone | 800-640-3451
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA 9101490
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License Number State | FL
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