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General NPI Number Information
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NPI Number | 1730396706
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Entity Type | Individual
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Provider Name | AMIT KUMAR SHARMA MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 915 N COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-4530
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Country | US
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Telephone | 321-441-8749
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Fax | 888-571-3160
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Provider Business Mailing Address
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Address Line | 3155 SUNTREE BLVD STE 102
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City | ROCKLEDGE
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State | FL
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Zip | 32955-5720
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Country | US
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Telephone | 321-441-8749
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Fax | 888-571-3160
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 28300
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | ME132574
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License Number State | FL
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