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General NPI Number Information
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NPI Number | 1871905448
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Entity Type | Individual
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Provider Name | JAMIE RHODES SHARMA D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 2401 N WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60647-2011
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Country | US
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Telephone | 312-202-0300
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Fax | 312-202-0383
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Provider Business Mailing Address
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Address Line | 737 N MICHIGAN AVE STE 820
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City | CHICAGO
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State | IL
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Zip | 60611-6659
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Country | US
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Telephone | 312-202-0300
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Fax | 312-202-0383
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 125.064687
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 036142559
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License Number State | IL
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