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NPI 1952543894

NPI 1952543894 : SARAH SHARP : HARRISONVILLE, MO

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General NPI Number Information
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    NPI Number           |    1952543894
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH SHARP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/24/2009
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    Last Update Date     |    04/06/2009
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Provider Practice Location Address
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    Address Line         |    207 E WALL ST. 
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    City                 |    HARRISONVILLE
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    State                |    MO
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    Zip                  |    64701
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    Country              |    US
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    Telephone            |    816-380-6699
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    207 E WALL ST. 
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    City                 |    HARRISONVILLE
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    State                |    MO
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    Zip                  |    64701-2452
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    Country              |    US
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    Telephone            |    816-380-6699
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    Fax                  |    
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    2006029872
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    License Number State |    MO
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