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General NPI Number Information
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NPI Number | 1629980701
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Entity Type | Individual
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Provider Name | SHARON IDA MCCLARY RN
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Gender | Female
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 7710 MERCY RD STE 3000
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City | OMAHA
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State | NE
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Zip | 68124-2350
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Country | US
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Telephone | 402-717-0739
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Fax | 402-717-0731
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Provider Business Mailing Address
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Address Line | 27555 QUIGG AVE
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City | MALVERN
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State | IA
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Zip | 51551-5132
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Country | US
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Telephone | 402-717-0739
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Fax | 402-717-0731
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 090085
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License Number State | IA
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