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General NPI Number Information
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NPI Number | 1790280097
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Entity Type | Organization
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Legal Business Name | RATIKA SHARMA, DDS, INC.
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 39 S LIVERMORE AVE STE 217
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City | LIVERMORE
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State | CA
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Zip | 94550-3119
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Country | US
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Telephone | 256-335-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 2421 CANTALISE DR
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City | DUBLIN
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State | CA
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Zip | 94568-7803
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Country | US
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Telephone | 256-335-1011
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Fax |
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Authorized Official
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Title or Position | DDS
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Name | RATIKA SHARMA
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Credential |
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Telephone | 256-335-1011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 61997
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License Number State | CA
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