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General NPI Number Information
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NPI Number | 1891292850
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Entity Type | Organization
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Legal Business Name | NAVEEN SHARMA, MD INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 04/06/2018
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Provider Practice Location Address
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Address Line | 2438 N PONDEROSA DR STE C201
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City | CAMARILLO
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State | CA
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Zip | 93010-2374
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Country | US
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Telephone | 805-484-4612
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Fax |
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Provider Business Mailing Address
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Address Line | 2438 N PONDEROSA DR STE C201
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City | CAMARILLO
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State | CA
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Zip | 93010-2374
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Country | US
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Telephone | 805-484-4612
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMIN
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Name | DEBBIE SEVERNS
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Credential |
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Telephone | 805-484-4612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A97189
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License Number State | CA
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