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General NPI Number Information
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NPI Number | 1992199723
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Entity Type | Individual
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Provider Name | CHRISTOPHER SHARPE LCSW, LISW
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Gender | Male
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 4617 WOODLAND AVE UNIT 4
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1763
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Country | US
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Telephone | 515-494-2797
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Fax |
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Provider Business Mailing Address
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Address Line | 4425 MILLS CIVIC PKWY UNIT 701
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City | WEST DES MOINES
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State | IA
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Zip | 50265-5451
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Country | US
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Telephone | 515-494-2797
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 124965
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 111212
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License Number State | IA
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