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General NPI Number Information
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NPI Number | 1811457963
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Entity Type | Individual
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Provider Name | SHARNEE MICHAELA MEAD DO
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Gender | Female
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Dates
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Enumeration Date | 03/24/2019
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 560 W MITCHELL ST STE M50
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City | PETOSKEY
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State | MI
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Zip | 49770-2275
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Country | US
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Telephone | 231-487-3003
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Fax | 231-487-3007
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Provider Business Mailing Address
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Address Line | 3600 FORBES AVE STE 140
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City | PITTSBURGH
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State | PA
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Zip | 15213-3410
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Country | US
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Telephone |
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 5101028182
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License Number State | MI
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