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General NPI Number Information
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NPI Number | 1922287168
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Entity Type | Organization
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Legal Business Name | DEEPAK SHARMA, M.D., LTD.
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 12/26/2007
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Provider Practice Location Address
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Address Line | 4275 BURNHAM AVE STE 128
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City | LAS VEGAS
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State | NV
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Zip | 89119-5400
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Country | US
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Telephone | 702-853-7777
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Fax | 702-853-7770
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Provider Business Mailing Address
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Address Line | 4275 BURNHAM AVE STE 128
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City | LAS VEGAS
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State | NV
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Zip | 89119-5400
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Country | US
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Telephone | 702-853-7777
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Fax | 702-853-7770
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Authorized Official
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Title or Position | BILLING
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Name | RENU KHITRI
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Credential |
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Telephone | 702-853-7777
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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 |
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License Number State |
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