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General NPI Number Information
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NPI Number | 1982832408
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Entity Type | Individual
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Provider Name | SHARON ANN NELSON PT
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Gender | Female
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 3141 N MCMULLEN BOOTH RD
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City | CLEARWATER
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State | FL
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Zip | 33761-2035
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Country | US
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Telephone | 727-723-7735
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Fax |
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Provider Business Mailing Address
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Address Line | 11220 6TH ST E
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City | TREASURE ISLAND
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State | FL
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Zip | 33706-3024
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Country | US
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Telephone | 727-360-6844
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT4445
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License Number State | FL
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