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General NPI Number Information
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NPI Number | 1083600225
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Entity Type | Individual
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Provider Name | STEFAN MICHAEL SINCO D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 200 E BROWN ST PMC PHYSICIAN ASSOCIATES ORTHOPAEDIC SURGERY
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-3006
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Country | US
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Telephone | 570-476-3700
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Fax | 570-476-3637
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Provider Business Mailing Address
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Address Line | 206 E BROWN ST POCONO HEALTHCARE MANAGEMENT
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-3006
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Country | US
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Telephone | 570-420-4951
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Fax | 570-476-3754
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS010171-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 054671
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DO27136
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License Number State | OR
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