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General NPI Number Information
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NPI Number | 1447184007
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Entity Type | Individual
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Provider Name | SYDNEY MARTIN
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Gender | Female
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 4567 E 9TH AVE
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City | DENVER
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State | CO
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Zip | 80220-3908
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Country | US
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Telephone | 303-320-2455
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Fax |
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Provider Business Mailing Address
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Address Line | 550 E 19TH AVE UNIT 2517
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City | DENVER
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State | CO
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Zip | 80203-1339
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Country | US
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Telephone | 720-371-6765
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | Q212210
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License Number State | CO
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