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General NPI Number Information
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NPI Number | 1497213805
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Entity Type | Individual
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Provider Name | CAROLINE SIVIK PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 1100 VAN NESS AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-6978
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Country | US
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Telephone | 415-600-3127
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Fax | 415-600-3110
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Provider Business Mailing Address
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Address Line | PO BOX 276950
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City | SACRAMENTO
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State | CA
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Zip | 95827-6950
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Country | US
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Telephone | 866-681-0738
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Fax | 916-854-6769
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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 | 61949
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License Number State | CA
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