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NPI Code Detail

MEDICARE: AMITA SHARMA

MEDICARE: AMITA SHARMA
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
1124Q00000XDental Hygienist17875TX

General Provider Information

NPI Number : 1841854072
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMITA SHARMA
Provider Business Mailing Address
First Line : 888 WORCESTER ST STE 130
Second Line :
City : WELLESLEY
State : MA
Zip : 02482-3744
Country : US
Telephone Number : 888-964-6681
Fax Number :
Provider Business Practice Location Address
First Line : 2413 E LOOP 820 N
Second Line :
City : FORT WORTH
State : TX
Zip : 76118-6933
Country : US
Telephone Number : 888-964-6681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2019
Last Update Date : 04/23/2019

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Directions to “ AMITA SHARMA ” Practice Location

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