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General NPI Number Information
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NPI Number | 1972754778
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Entity Type | Individual
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Provider Name | SHARA MICHELLE WOHLSCHEID PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 10/28/2022
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Provider Practice Location Address
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Address Line | 2480 W CAMPUS DR SUITE 500
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City | MT PLEASANT
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State | MI
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Zip | 48858-5414
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Country | US
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Telephone | 989-772-1609
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Fax | 989-773-6279
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Provider Business Mailing Address
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Address Line | 3380 BLVD OF THE ALLIES SUITE 390
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City | PITTSBURGH
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State | PA
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Zip | 15213-3125
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Country | US
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Telephone | 412-641-3665
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Fax | 412-641-3640
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MAO53727
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601006719
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License Number State | MI
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