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General NPI Number Information
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NPI Number | 1871866095
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Entity Type | Individual
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Provider Name | NEHA SHARMA MD
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Gender | Female
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Dates
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Enumeration Date | 02/18/2012
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 1885 PLAZA DR
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City | EAGAN
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State | MN
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Zip | 55122-2979
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Country | US
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Telephone | 952-993-4001
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Fax | 952-993-4095
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Provider Business Mailing Address
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Address Line | PO BOX 1309 MS 21110Q
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City | MINNEAPOLIS
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State | MN
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Zip | 55440-1309
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Country | US
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Telephone | 952-993-4001
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Fax | 952-993-4095
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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 | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 57758
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License Number State | MN
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