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Individual
MS. TRACY LYNN SHARP
Active
Individual
MS. TRACY LYNN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000488903
ANTHEM PROVIDER #
OH
01
—
1134112469
GROUP NPI# PRIMARY OFFICE
—
01
—
1669550182
GROUP NPI# SATELLITE OFFI
—
05
—
2653696
—
OH
01
—
9934001
MEDICARE PTAN
OH
01
—
P00364353
RAIL ROAD MEDICARE
OH
Enumeration date
07/28/2006
Last updated
07/19/2023
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