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General NPI Number Information
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NPI Number | 1972136117
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Entity Type | Individual
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Provider Name | SHARON RONOH
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Gender | Female
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Dates
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Enumeration Date | 02/17/2020
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Last Update Date | 02/17/2020
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Provider Practice Location Address
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Address Line | 1201 18TH ST
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City | COLUMBUS
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State | GA
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Zip | 31901-1724
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Country | US
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Telephone | 706-507-3747
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Fax |
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Provider Business Mailing Address
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Address Line | 6909 BROADFIELD CT
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City | COLUMBUS
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State | GA
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Zip | 31907-9473
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Country | US
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Telephone | 270-250-3090
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F06191144
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License Number State | GA
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