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General NPI Number Information
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NPI Number | 1982088662
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Entity Type | Individual
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Provider Name | SHARON SHAW FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 02/25/2026
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Provider Practice Location Address
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Address Line | 125 CARBON ST
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City | PATERSON
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State | NJ
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Zip | 07522-1228
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Country | US
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Telephone | 973-341-4620
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Fax |
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Provider Business Mailing Address
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Address Line | 125 CARBON ST
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City | PATERSON
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State | NJ
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Zip | 07522-1228
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Country | US
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Telephone | 973-341-4620
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2025045145
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ00555100
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License Number State | NJ
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