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General NPI Number Information
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NPI Number | 1386088540
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Entity Type | Organization
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Legal Business Name | BRIAN E. SICHER, DPM PA
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 04/18/2013
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Provider Practice Location Address
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Address Line | 19 CARE CIR
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City | AMARILLO
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State | TX
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Zip | 79124-2105
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Country | US
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Telephone | 806-353-3366
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Fax | 806-353-0165
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Provider Business Mailing Address
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Address Line | 19 CARE CIR
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City | AMARILLO
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State | TX
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Zip | 79124-2105
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Country | US
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Telephone | 806-353-3366
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Fax | 806-353-0165
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. BRIAN E. SICHER
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Credential | DPM
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Telephone | 806-353-3366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2044
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 1295
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License Number State | TX
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