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General NPI Number Information
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NPI Number | 1710037726
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Entity Type | Individual
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Provider Name | PAUL J SHAREK MD
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 700 WELCH RD STE 227
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City | PALO ALTO
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State | CA
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Zip | 94304-1502
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Country | US
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Telephone | 650-736-0926
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Fax | 650-497-8465
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Provider Business Mailing Address
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Address Line | 1804 EMBARCADERO RD STE 100
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City | PALO ALTO
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State | CA
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Zip | 94303-3341
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Country | US
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Telephone | 650-736-0926
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Fax | 650-497-8465
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G070895
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License Number State | CA
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