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General NPI Number Information
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NPI Number | 1891541843
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Entity Type | Organization
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Legal Business Name | SHARP MIND AND MEDICAL LLC
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 06/09/2024
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Provider Practice Location Address
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Address Line | 5700 W RASPBERRY LOOP
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City | WASILLA
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State | AK
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Zip | 99623-9451
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Country | US
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Telephone | 210-391-7642
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 W RASPBERRY LOOP
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City | WASILLA
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State | AK
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Zip | 99623-9451
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Country | US
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Telephone | 210-391-7642
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Fax |
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | DR. HELEN SHARP
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Credential | APRN
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Telephone | 210-391-7642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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