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General NPI Number Information
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NPI Number | 1457051666
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Entity Type | Individual
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Provider Name | SYDNEY GEAR
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Gender | Female
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 2777 E CAMELBACK RD STE 200
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City | PHOENIX
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State | AZ
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Zip | 85016-4352
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Country | US
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Telephone | 602-952-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 3921 E CARTER DR
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City | PHOENIX
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State | AZ
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Zip | 85042-6212
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Country | US
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Telephone | 602-388-2205
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 288800
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License Number State | AZ
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