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General NPI Number Information
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NPI Number | 1316258908
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Entity Type | Individual
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Provider Name | TRACY SISK D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1600 PRAIRIE CENTER PKWY
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City | BRIGHTON
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State | CO
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Zip | 80601-4006
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Country | US
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Telephone | 303-422-9438
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 668
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City | ARVADA
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State | CO
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Zip | 80001-0668
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Country | US
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Telephone | 303-422-9438
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 93605
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | UO2367
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS13980
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR.0071710
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 8026
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License Number State | AK
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