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General NPI Number Information
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NPI Number | 1720237480
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Entity Type | Organization
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Legal Business Name | SHARP HEALTHCARE
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 10670 WEXFORD ST
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City | SAN DIEGO
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State | CA
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Zip | 92131-3940
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Country | US
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Telephone | 858-499-2777
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Fax |
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Provider Business Mailing Address
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Address Line | 8695 SPECTRUM CENTER BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1489
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO - SHARP REES-STEALY
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Name | STACEU HROUNTAS
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Credential |
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Telephone | 858-262-6003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CLF336902
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License Number State | CA
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