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General NPI Number Information
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NPI Number | 1457509341
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Entity Type | Individual
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Provider Name | KARL DAVID SINCLAIR P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 2905 W 12 MILE RD
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City | BERKLEY
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State | MI
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Zip | 48072-1413
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Country | US
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Telephone | 248-541-0070
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27561
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City | BELFAST
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State | ME
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Zip | 04915-2027
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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 | 5601005389
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License Number State | MI
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