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General NPI Number Information
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NPI Number | 1679768667
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Entity Type | Organization
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Legal Business Name | DR. MICHAEL V. SHARPE
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/17/2007
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Provider Practice Location Address
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Address Line | 3772 W 3RD ST
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City | HILLIARD
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State | FL
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Zip | 32046-6846
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Country | US
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Telephone | 904-783-9428
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Fax | 904-786-4981
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Provider Business Mailing Address
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Address Line | 100 CYPRESS LAGOON CT
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082-2106
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Country | US
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Telephone | 904-783-9428
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Fax | 904-786-4981
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Authorized Official
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Title or Position | M.D.
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Name | DR. MICHAEL V. SHARPE
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Credential | M.D.
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Telephone | 904-783-9428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME51340
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License Number State | FL
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