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General NPI Number Information
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NPI Number | 1649757006
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Entity Type | Individual
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Provider Name | ANKUR MARKAND SHARMA MD, FRCPC
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Gender | Male
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Dates
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Enumeration Date | 07/27/2018
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 1350 CONCOURSE AVE APT 1071
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City | MEMPHIS
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State | TN
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Zip | 38104-2065
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Country | US
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Telephone | 443-905-7539
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 CONCOURSE AVE APT 1071
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City | MEMPHIS
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State | TN
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Zip | 38104-2065
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Country | US
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Telephone | 443-905-7539
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 59646
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License Number State | TN
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