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General NPI Number Information
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NPI Number | 1770784076
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Entity Type | Individual
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Provider Name | ROBERT H SHARPLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 303 LAKE AVE
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City | NEWTON
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State | MA
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Zip | 02461-1211
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Country | US
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Telephone | 617-965-6303
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Fax |
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Provider Business Mailing Address
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Address Line | 444 PURGATORY LN
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City | MIDDLETOWN
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State | RI
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Zip | 02842-5984
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Country | US
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Telephone | 617-965-6303
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 30194
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License Number State | MA
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