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General NPI Number Information
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NPI Number | 1679878854
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Entity Type | Organization
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Legal Business Name | JAMES D SHARP MD PLLC
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Dates
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Enumeration Date | 01/19/2011
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Last Update Date | 01/19/2011
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Provider Practice Location Address
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Address Line | 601 W MAPLE AVE SUITE 205A
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City | SPRINGDALE
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State | AR
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Zip | 72764-5335
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Country | US
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Telephone | 479-419-9393
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Fax | 479-419-9513
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Provider Business Mailing Address
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Address Line | 601 W MAPLE AVE SUITE 205A
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City | SPRINGDALE
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State | AR
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Zip | 72764-5335
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Country | US
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Telephone | 479-419-9393
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Fax | 479-419-9513
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES D SHARP
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Credential | MD
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Telephone | 479-419-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C-4526
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License Number State | AR
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