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General NPI Number Information
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NPI Number | 1003724261
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Entity Type | Individual
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Provider Name | SYDNIE FRANCES PETOSKEY
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 1267 MERIDIAN AVE
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City | SAN JOSE
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State | CA
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Zip | 95125-5210
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Country | US
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Telephone | 408-265-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 4412 WHITE OAK CT
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City | HAMILTON
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State | MI
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Zip | 49419-8808
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Country | US
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Telephone | 269-355-0049
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 310864
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License Number State | CA
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