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General NPI Number Information
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NPI Number | 1811450067
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Entity Type | Individual
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Provider Name | SHARLA MO NP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 300 30TH AVE NW STE D
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City | MINOT
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State | ND
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Zip | 58703-0611
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Country | US
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Telephone | 701-858-1801
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Fax | 701-858-1802
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Provider Business Mailing Address
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Address Line | 8444 N 90TH ST STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4437
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Country | US
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Telephone | 602-248-8886
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Fax | 480-687-7361
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 205544
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2019019648
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 261898
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 14-99875-091
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2006019378
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License Number State | MO
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