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General NPI Number Information
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NPI Number | 1831571686
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Entity Type | Individual
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Provider Name | SANTOSH RAJ SHARMA
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Gender | Male
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Dates
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Enumeration Date | 06/28/2015
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 121 DEKALB AVE
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City | BROOKLYN
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State | NY
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Zip | 11201-5425
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Country | US
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Telephone | 718-250-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 539 85TH ST APT# 3D
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City | BROOKLYN
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State | NY
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Zip | 11209-4867
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Country | US
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Telephone | 303-330-3782
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2022-01224
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2022-01224
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License Number State | NC
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