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General NPI Number Information
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NPI Number | 1811023922
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Entity Type | Organization
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Legal Business Name | REKHA SHARMA MD PA
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Dates
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Enumeration Date | 02/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 701 NEWARK AVE SUITE LL4
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City | ELIZABETH
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State | NJ
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Zip | 07208-3550
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Country | US
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Telephone | 908-282-0474
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Fax | 908-282-0475
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Provider Business Mailing Address
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Address Line | 4 RONS EDGE RD
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-2535
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Country | US
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Telephone | 973-376-0452
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Fax | 973-376-0524
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REKHA SHARMA
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Credential | MD
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Telephone | 908-282-0474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA06959600
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License Number State | NJ
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