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General NPI Number Information
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NPI Number | 1205726619
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Entity Type | Individual
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Provider Name | SYDNEY SETCHEL WEST
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 11551 NUCKOLS RD STE I
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5565
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Country | US
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Telephone | 980-785-1113
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Fax | 980-785-1114
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Provider Business Mailing Address
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Address Line | 814 TYVOLA RD STE 126
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City | CHARLOTTE
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State | NC
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Zip | 28217-3539
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Country | US
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Telephone | 980-785-1113
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Fax | 980-785-1114
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 12582278
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License Number State | VA
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