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NPI 1205931722

NPI 1205931722 : ERIK V SITKER MD : BURBANK, CA

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General NPI Number Information
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    NPI Number           |    1205931722
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    Entity Type          |    Individual 
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    Provider Name        |    ERIK V SITKER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/13/2006
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    Last Update Date     |    08/30/2010
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Provider Practice Location Address
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    Address Line         |    255 E ORANGE GROVE AVE SUITE D
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91502-1240
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    Country              |    US
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    Telephone            |    818-848-5595
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    Fax                  |    818-848-5749
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Provider Business Mailing Address
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    Address Line         |    255 E ORANGE GROVE AVE SUITE D
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91502-1240
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    Country              |    US
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    Telephone            |    818-848-5595
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    Fax                  |    818-848-5747
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    A99361
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207RN0300X
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    Taxonomy Name        |    Nephrology Physician
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    License Number       |    A99361
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    License Number State |    CA
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