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General NPI Number Information
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NPI Number | 1538933924
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Entity Type | Individual
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Provider Name | SINAN YUKSEL PAC
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Gender | Male
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 218A DELAWARE AVE
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City | PALMERTON
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State | PA
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Zip | 18071-1813
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Country | US
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Telephone | 272-639-5060
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Fax | 272-739-5061
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Provider Business Mailing Address
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Address Line | 218A DELAWARE AVE
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City | PALMERTON
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State | PA
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Zip | 18071-1813
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Country | US
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Telephone | 272-639-5060
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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 | MA065218
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License Number State | PA
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