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General NPI Number Information
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NPI Number | 1891883328
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Entity Type | Individual
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Provider Name | AJAY SHARMA D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 3200 GRAND AVE
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City | DES MOINES
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State | IA
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Zip | 50312-4104
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Country | US
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Telephone | 515-271-1700
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Fax | 515-271-1726
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Provider Business Mailing Address
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Address Line | 3200 GRAND AVE
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City | DES MOINES
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State | IA
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Zip | 50312-4104
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Country | US
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Telephone | 515-271-1700
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Fax | 515-271-1726
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036-112797
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 036112797
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DO06858
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License Number State | IA
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