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Individual
SHARON M IRVINE
Active
Individual
SHARON M IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044106502
—
TX
01
—
870749737
TAX ID
TX
01
—
8F0972
PTAN
TX
Enumeration date
07/18/2006
Last updated
02/25/2013
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