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General NPI Number Information
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NPI Number | 1447254263
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Entity Type | Individual
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Provider Name | ROBERT A SIKORA JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 2296 OPITZ BLVD STE 401
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3347
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Country | US
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Telephone | 703-670-3900
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Fax | 703-670-6675
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Provider Business Mailing Address
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Address Line | 34 ROLLINGSIDE DR
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City | FREDERICKSBURG
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State | VA
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Zip | 22406-7268
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Country | US
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Telephone | 540-752-6845
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 0101059152
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License Number State | VA
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