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General NPI Number Information
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NPI Number | 1922129444
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Entity Type | Individual
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Provider Name | SHARIKA SHIELDS-DAVIS O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 15480 ANNAPOLIS RD STE 230
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City | BOWIE
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State | MD
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Zip | 20715-1801
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Country | US
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Telephone | 240-929-4255
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Fax |
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Provider Business Mailing Address
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Address Line | 15480 ANNAPOLIS RD STE 230
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City | BOWIE
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State | MD
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Zip | 20715-1801
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Country | US
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Telephone | 240-929-4255
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Fax | 240-929-4316
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001887
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2138
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License Number State | MD
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