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General NPI Number Information
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NPI Number | 1750371191
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Entity Type | Individual
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Provider Name | SHARON M. LABS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 12/12/2014
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Provider Practice Location Address
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Address Line | 2055 SW MOUNT HOOD LN
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City | PORTLAND
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State | OR
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Zip | 97239-1561
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Country | US
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Telephone | 503-224-3393
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Fax | 503-310-9333
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Provider Business Mailing Address
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Address Line | 2055 SW MOUNT HOOD LN
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City | PORTLAND
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State | OR
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Zip | 97239-1561
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Country | US
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Telephone | 503-224-3393
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Fax | 503-310-9333
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 608
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 608
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 608
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 608
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 608
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License Number State | OR
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