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NPI 1679858476

NPI 1679858476 : ERIN R SHARP PHARMD : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1679858476
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN R SHARP PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/13/2011
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    Last Update Date     |    12/19/2019
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Provider Practice Location Address
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    Address Line         |    500 W THOMAS RD STE 190 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85013-4237
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    Country              |    US
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    Telephone            |    602-406-3970
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    500 W THOMAS RD STE 190 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85013-4237
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    Country              |    US
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    Telephone            |    602-406-3970
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    051-290256
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    License Number State |    IL
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Taxonomy #2
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    S023545
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    License Number State |    AZ
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