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General NPI Number Information
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NPI Number | 1659785483
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Entity Type | Individual
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Provider Name | KATIE M SINCLAIR MD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 10/18/2018
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Provider Practice Location Address
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Address Line | 1151 N ROCK RD
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City | WICHITA
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State | KS
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Zip | 67206-1262
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Country | US
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Telephone | 316-268-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1514 N FIELDCREST CIR
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City | WICHITA
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State | KS
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Zip | 67212-1139
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Country | US
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Telephone | 316-494-3678
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2014019433
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 04-41199
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License Number State | KS
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