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General NPI Number Information
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NPI Number | 1356128458
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Entity Type | Individual
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Provider Name | SYDNEY HUEY
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Gender | Female
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 135 N PARK PL STE 210
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7209
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Country | US
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Telephone | 470-615-7650
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Fax |
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Provider Business Mailing Address
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Address Line | 909 HANNOVER CIR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-7963
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Country | US
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Telephone | 662-207-2510
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA7578
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | CPO24730A
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License Number State | GA
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