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General NPI Number Information
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NPI Number | 1659208809
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Entity Type | Individual
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Provider Name | VANDHNA SHARMA
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Gender | Female
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Dates
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Enumeration Date | 05/04/2026
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Last Update Date | 05/04/2026
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Provider Practice Location Address
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Address Line | 2741 SUTTON BLVD
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City | MAPLEWOOD
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State | MO
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Zip | 63143-3007
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Country | US
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Telephone | 314-866-8314
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Fax |
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Provider Business Mailing Address
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Address Line | 1132 RUE LA VILLE WALK
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City | CREVE COEUR
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State | MO
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Zip | 63141-6261
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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 |
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 2026018917
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License Number State | MO
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