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NPI 1891128245

NPI 1891128245 : MANU SHARMA D.M.D. : NEWARK, CA

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General NPI Number Information
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    NPI Number           |    1891128245
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    Entity Type          |    Individual 
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    Provider Name        |    MANU SHARMA D.M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/20/2013
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    Last Update Date     |    09/09/2025
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Provider Practice Location Address
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    Address Line         |    3900 NEWPARK MALL STE 204 
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    City                 |    NEWARK
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    State                |    CA
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    Zip                  |    94560-5241
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    Country              |    US
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    Telephone            |    510-796-1793
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    Fax                  |    510-796-3662
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Provider Business Mailing Address
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    Address Line         |    3900 NEWPARK MALL STE 204 
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    City                 |    NEWARK
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    State                |    CA
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    Zip                  |    94560-5241
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    Country              |    US
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    Telephone            |    510-796-1793
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    Fax                  |    510-796-3662
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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        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    62760
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    License Number State |    CA
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