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General NPI Number Information
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NPI Number | 1659730232
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Entity Type | Individual
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Provider Name | SARA SHARMA
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Gender | Female
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Dates
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Enumeration Date | 02/11/2016
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 10810 DARNESTOWN RD STE 101
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City | GAITHERSBURG
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State | MD
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Zip | 20878
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Country | US
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Telephone | 301-762-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 120 PARAMOUNT PARK DR APT 501
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3593
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Country | US
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Telephone | 571-255-0625
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 01630
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License Number State | MD
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