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General NPI Number Information
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NPI Number | 1851524557
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Entity Type | Individual
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Provider Name | ARCHANA SHARMA MD
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Gender | Female
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 07/23/2015
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Provider Practice Location Address
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Address Line | 104 NORTH ST
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City | BRISTOL
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State | CT
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Zip | 06010-4190
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Country | US
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Telephone | 860-585-1283
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2828
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City | BRISTOL
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State | CT
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Zip | 06011-2828
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Country | US
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Telephone | 860-585-3773
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 53906
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License Number State | CT
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