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General NPI Number Information
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NPI Number | 1437196169
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Entity Type | Individual
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Provider Name | DAVID SENN PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 230 N GENESEE ST
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City | UTICA
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State | NY
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Zip | 13502-2529
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Country | US
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Telephone | 315-275-3214
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 500
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City | ELLICOTTVILLE
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State | NY
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Zip | 14731-0500
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Country | US
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Telephone |
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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 | 52582
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License Number State | CA
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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 | 006164
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License Number State | NY
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