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NPI Code Detail

MEDICARE: MS. SHARON L. COMSTOCK MA

MEDICARE:  MS. SHARON L. COMSTOCK  MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist339NE

General Provider Information

NPI Number : 1700138054
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON L. COMSTOCK MA
Provider Business Mailing Address
First Line : 3805 25TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2233
Country : US
Telephone Number : 402-416-5627
Fax Number :
Provider Business Practice Location Address
First Line : 3805 25TH ST
Second Line :
City : COLUMBUS
State : NE
Zip : 68601-2233
Country : US
Telephone Number : 402-416-5627
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2012
Last Update Date : 11/06/2019

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Directions to “ MS. SHARON L. COMSTOCK MA” Practice Location

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