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General NPI Number Information
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NPI Number | 1992856553
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Entity Type | Individual
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Provider Name | SHARON CRIMMINS MARX M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 9701 DATA PARK MN006-W600
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City | MINNETONKA
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State | MN
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Zip | 55343-9026
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Country | US
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Telephone | 800-896-8936
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Fax | 888-866-3209
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Provider Business Mailing Address
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Address Line | 5822 VERNON LN
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City | EDINA
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State | MN
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Zip | 55436-2250
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Country | US
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Telephone |
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 29870
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License Number State | MN
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