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General NPI Number Information
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NPI Number | 1508422551
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Entity Type | Individual
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Provider Name | KAYCE SALA CINCAR PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/15/2019
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Last Update Date | 05/15/2019
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Provider Practice Location Address
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Address Line | 975 JOHNSON FERRY RD STE 120
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City | ATLANTA
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State | GA
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Zip | 30342-1618
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Country | US
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Telephone | 770-355-1399
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Fax |
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Provider Business Mailing Address
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Address Line | 5922 REDWINE ST
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City | NORCROSS
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State | GA
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Zip | 30071-1903
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Country | US
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Telephone | 404-314-0509
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Fax | 404-303-9798
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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 | 9210
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License Number State | GA
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