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General NPI Number Information
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NPI Number | 1629262050
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Entity Type | Organization
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Legal Business Name | SHARON LAKES MEDICAL ASSOCIATES, PC
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 7631 SHARON LAKES RD STE P
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City | CHARLOTTE
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State | NC
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Zip | 28210-7430
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Country | US
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Telephone | 704-643-5800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1089
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City | PINEVILLE
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State | NC
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Zip | 28134-1089
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIR.
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Name | DR. ERNEST ALLEYNE
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Credential |
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Telephone | 704-643-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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