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NPI 1598254351

NPI 1598254351 : SYDNEY CLAIRE GETTEL PA-C, PTA : LAKEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1598254351
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    Entity Type          |    Individual 
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    Provider Name        |    SYDNEY CLAIRE GETTEL PA-C, PTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/08/2018
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    Last Update Date     |    07/23/2024
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Provider Practice Location Address
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    Address Line         |    1435 GARRISON ST STE 100 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80215-4748
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    Country              |    US
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    Telephone            |    720-724-3668
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1435 GARRISON ST STE 100 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80215-4748
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    Country              |    US
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    Telephone            |    207-724-3668
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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        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    0013888
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    License Number State |    CO
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA.0007893
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    License Number State |    CO
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