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General NPI Number Information
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NPI Number | 1972322782
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Entity Type | Individual
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Provider Name | VASANTI SHARMA PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/08/2024
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 1013 N STATE ROAD 434 STE 1060
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-7078
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Country | US
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Telephone | 407-867-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 1239 E PLANT ST APT 313
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City | WINTER GARDEN
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State | FL
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Zip | 34787-1940
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Country | US
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Telephone | 954-393-7244
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9119364
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License Number State | FL
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