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General NPI Number Information
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NPI Number | 1841464534
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Entity Type | Individual
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Provider Name | MANISHA SHARMA MD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 07/23/2016
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Provider Practice Location Address
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Address Line | 5300 OAKBROOK PKWY SUITE 130
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City | NORCROSS
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State | GA
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Zip | 30093-2256
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Country | US
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Telephone | 470-699-0866
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Fax | 470-299-2622
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Provider Business Mailing Address
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Address Line | 218 ASHLEY FOREST DR
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City | ALPHARETTA
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State | GA
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Zip | 30022-6127
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Country | US
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Telephone | 470-435-4840
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Fax | 470-299-2622
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 73488
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License Number State | GA
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