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General NPI Number Information
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NPI Number | 1831760123
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Entity Type | Individual
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Provider Name | SHARA MYERS DMD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 13851 N US HIGHWAY 441
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City | LADY LAKE
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State | FL
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Zip | 32159-8924
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Country | US
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Telephone | 407-559-8491
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Fax |
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Provider Business Mailing Address
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Address Line | 23678 US HIGHWAY 98
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City | FAIRHOPE
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State | AL
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Zip | 36532-3336
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Country | US
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Telephone | 251-928-8770
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN30013
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D-0006932-C1
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License Number State | AL
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