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General NPI Number Information
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NPI Number | 1912531328
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Entity Type | Individual
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Provider Name | ALISA SHARMA DC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1407 116TH AVE NE STE 104
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City | BELLEVUE
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State | WA
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Zip | 98004-3819
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Country | US
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Telephone | 800-404-6050
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Fax | 866-313-3397
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Provider Business Mailing Address
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Address Line | PO BOX 700668
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City | SAN ANTONIO
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State | TX
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Zip | 78270-0668
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Country | US
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Telephone | 210-318-3007
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Fax | 210-468-0682
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH61151387
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License Number State | WA
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