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General NPI Number Information
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NPI Number | 1770002370
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Entity Type | Organization
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Legal Business Name | SHARMA PEARL INC
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Dates
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Enumeration Date | 09/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3920 W WHEATLAND RD STE 100
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City | DALLAS
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State | TX
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Zip | 75237-3457
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Country | US
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Telephone | 972-572-9006
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Fax | 972-572-9016
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Provider Business Mailing Address
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Address Line | 3920 W WHEATLAND RD STE 100
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City | DALLAS
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State | TX
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Zip | 75237-3457
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Country | US
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Telephone | 972-572-9006
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Fax | 972-572-9016
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Authorized Official
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Title or Position | PIC
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Name | MR. NICHOLAS OWEN ODIASE
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Credential | PHARMACIST
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Telephone | 972-572-9006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 31575
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License Number State | TX
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