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NPI 1831353093

NPI 1831353093 : DEEPTI SHARMA MD : GARNER, NC

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General NPI Number Information
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    NPI Number           |    1831353093
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    Entity Type          |    Individual 
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    Provider Name        |    DEEPTI SHARMA MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/16/2008
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    Last Update Date     |    07/22/2022
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Provider Practice Location Address
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    Address Line         |    WAKEMED GARNER URGENT CARE 811 U.S HWY 70 WEST
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    City                 |    GARNER
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    State                |    NC
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    Zip                  |    27529
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    Country              |    US
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    Telephone            |    919-235-6565
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5116 WINDING VIEW LN 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27615-1893
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    62931
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    License Number State |    WI
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    2017-02131
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    License Number State |    NC
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