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General NPI Number Information
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NPI Number | 1396761797
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Entity Type | Individual
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Provider Name | SYLVIA PEARL SYDOW M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 715 EUDORA ST
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City | DENVER
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State | CO
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Zip | 80220-5115
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Country | US
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Telephone | 303-370-1396
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Fax | 303-333-8051
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Provider Business Mailing Address
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Address Line | 13001 E 17TH PL PO BOX 6327
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City | AURORA
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State | CO
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Zip | 80045-7238
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Country | US
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Telephone | 303-724-0206
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Fax | 303-393-4681
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20304
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License Number State | CO
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