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General NPI Number Information
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NPI Number | 1750745253
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Entity Type | Organization
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Legal Business Name | STERLING EYE CENTER, PLLC
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Dates
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Enumeration Date | 04/11/2016
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 220 S 3RD ST SUITE 1
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City | STERLING
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State | CO
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Zip | 80751-4258
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Country | US
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Telephone | 970-522-1833
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Fax | 970-522-3677
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Provider Business Mailing Address
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Address Line | PO BOX 951
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City | STERLING
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State | CO
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Zip | 80751-0951
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Country | US
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Telephone | 970-522-1833
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Fax | 970-522-3677
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. DANIEL HENNESSY SHARP
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Credential | M.D.
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Telephone | 970-522-1833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | DR.0029002
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License Number State | CO
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