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General NPI Number Information
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NPI Number | 1427556596
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Entity Type | Individual
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Provider Name | ALEXANDER TERRENCE SYKORA NP
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Gender | Male
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 50249 HARRISON ST STE K
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City | COACHELLA
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State | CA
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Zip | 92236-1530
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Country | US
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Telephone | 760-393-0555
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Fax | 760-393-0522
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Provider Business Mailing Address
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Address Line | 40300 WASHINGTON STREET I102
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City | BERMUDA DUNES
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State | CA
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Zip | 92203
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Country | US
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Telephone | 760-545-5555
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP95008332
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License Number State | CA
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