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General NPI Number Information
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NPI Number | 1609586502
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Entity Type | Organization
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Legal Business Name | SPARROW FAMILY MEDICINE, PLLC
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 12/01/2022
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Provider Practice Location Address
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Address Line | 240 N 7TH ST STE 500
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City | AKRON
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State | PA
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Zip | 17501-1366
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Country | US
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Telephone | 717-478-3850
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Fax | 717-402-9113
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Provider Business Mailing Address
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Address Line | 240 N 7TH ST STE 500
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City | AKRON
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State | PA
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Zip | 17501-1366
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Country | US
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Telephone | 717-478-3850
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Fax | 717-402-9113
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Authorized Official
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Title or Position | MEMBER
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Name | DR. CANDICE MICHELLE CAVICCHIA MILLER
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Credential | MD
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Telephone | 610-306-8339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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