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General NPI Number Information
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NPI Number | 1659587830
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Entity Type | Organization
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Legal Business Name | LESLIE D. SHARP DC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 2287 N W LOOP
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City | STEPHENVILLE
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State | TX
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Zip | 76401
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Country | US
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Telephone | 254-968-5611
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Fax |
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Provider Business Mailing Address
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Address Line | 2287 N W LOOP P O BOX 1336
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City | STEPHENVILLE
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State | TX
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Zip | 76401
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Country | US
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Telephone | 254-968-5611
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LESLIE SHARP
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Credential | DC
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Telephone | 254-968-5611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2706
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License Number State | TX
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