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General NPI Number Information
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NPI Number | 1346148129
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Entity Type | Organization
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Legal Business Name | SIPNATE LLC
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Dates
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Enumeration Date | 10/30/2026
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Last Update Date | 10/30/2026
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Provider Practice Location Address
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Address Line | 1422 W TRAMMELL ST
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City | LANTANA
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State | FL
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Zip | 33462-4241
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Country | US
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Telephone | 872-192-1542
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Fax |
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Provider Business Mailing Address
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Address Line | 1422 W TRAMMELL ST
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City | LANTANA
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State | FL
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Zip | 33462-4241
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TANNER GREGG
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Credential |
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Telephone | 482-164-6312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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