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General NPI Number Information
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NPI Number | 1366873796
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Entity Type | Individual
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Provider Name | COURTNEY MARIE VAN SICKLE PA
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Gender | Female
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 50 HOSPITAL DR STE 3B-2
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-5248
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Country | US
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Telephone | 828-687-0088
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Fax | 828-684-6693
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Provider Business Mailing Address
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Address Line | PO BOX 1869
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City | FLETCHER
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State | NC
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Zip | 28732-1869
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Country | US
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Telephone | 828-687-5698
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9116523
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-06920
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License Number State | NC
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