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General NPI Number Information
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NPI Number | 1326357195
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Entity Type | Organization
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Legal Business Name | ALAN K. SICHELMAN, M.D. P.A.
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 5323 GRAND BLVD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4014
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Country | US
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Telephone | 727-842-5970
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Fax | 727-846-7269
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Provider Business Mailing Address
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Address Line | 5323 GRAND BLVD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4014
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Country | US
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Telephone | 727-842-5970
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Fax | 727-846-7269
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALAN SICHELMAN
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Credential | M.D.
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Telephone | 727-842-5970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME0023239
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License Number State | FL
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