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NPI 1154430890

NPI 1154430890 : BARBARA ANN SINCLAIR MD : SANTA ROSA, CA

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General NPI Number Information
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    NPI Number           |    1154430890
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    Entity Type          |    Individual 
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    Provider Name        |    BARBARA ANN SINCLAIR MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/29/2006
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    Last Update Date     |    04/18/2013
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Provider Practice Location Address
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    Address Line         |    144 STONY POINT RD 
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    City                 |    SANTA ROSA
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    State                |    CA
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    Zip                  |    95401-4122
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    Country              |    US
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    Telephone            |    707-521-4672
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    Fax                  |    707-521-4672
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Provider Business Mailing Address
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    Address Line         |    4708 STONEHEDGE DR 
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    City                 |    SANTA ROSA
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    State                |    CA
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    Zip                  |    95405-7415
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    Country              |    US
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    Telephone            |    707-696-8185
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    Fax                  |    707-938-6940
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    G75208
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    License Number State |    CA
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