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General NPI Number Information
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NPI Number | 1659681161
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Entity Type | Individual
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Provider Name | SABRINA MORGAN SEIDMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 333 1ST ST STE A
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City | SAN FRANCISCO
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State | CA
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Zip | 94105-2661
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Country | US
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Telephone | 415-840-0560
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Fax | 415-779-8032
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Provider Business Mailing Address
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Address Line | 3747 32ND ST APT 3
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City | SAN DIEGO
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State | CA
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Zip | 92104-3767
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Country | US
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Telephone | 954-444-5082
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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 | 9113706
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License Number State | FL
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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 | 10487
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | OA006088
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1095702
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License Number State | CA
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