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General NPI Number Information
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NPI Number | 1457932584
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Entity Type | Individual
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Provider Name | JOHN SINKOVICH DO
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Gender | Male
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 1863 MEMORIAL DR SE
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City | ATLANTA
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State | GA
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Zip | 30317-2103
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Country | US
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Telephone | 404-616-9304
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Fax |
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Provider Business Mailing Address
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Address Line | 2451 OAK GROVE VIS
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City | DECATUR
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State | GA
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Zip | 30033-2054
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Country | US
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Telephone | 248-504-7427
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 5151015173
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License Number State | MI
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