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General NPI Number Information
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NPI Number | 1023756921
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Entity Type | Individual
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Provider Name | MADISON HANNA STURGIS PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/22/2022
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 7116 SENNET PL
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45069-3209
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Country | US
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Telephone | 513-779-5610
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Fax | 513-779-5612
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Provider Business Mailing Address
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Address Line | 2255 GLADES RD STE 228W
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City | BOCA RATON
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State | FL
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Zip | 33431-7391
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Country | US
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Telephone | 561-425-9483
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Fax | 561-658-6142
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.008922RX
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License Number State | PA
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