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General NPI Number Information
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NPI Number | 1598559510
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Entity Type | Individual
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Provider Name | SHALEEKHA SHARMA MD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2501 N PATTERSON ST
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City | VALDOSTA
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State | GA
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Zip | 31602-1735
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Country | US
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Telephone | 229-433-4178
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 WALKER PL SE
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City | ATLANTA
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State | GA
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Zip | 30317-1800
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Country | US
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Telephone | 310-926-7299
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 17084
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License Number State | GA
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