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General NPI Number Information
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NPI Number | 1669830311
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Entity Type | Individual
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Provider Name | SHARON SARIG APRN
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Gender | Male
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 330 SW 27TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-2051
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Country | US
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Telephone | 954-791-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 4740 N STATE ROAD 7 STE 201
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5839
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Country | US
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Telephone | 954-486-4005
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11014078
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License Number State | FL
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