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NPI 1740584275

NPI 1740584275 : DEE A SHEETS PA : PORT CHARLOTTE, FL

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General NPI Number Information
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    NPI Number           |    1740584275
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    Entity Type          |    Individual 
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    Provider Name        |    DEE A SHEETS PA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/23/2010
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    Last Update Date     |    12/17/2025
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Provider Practice Location Address
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    Address Line         |    22395 EDGEWATER DR 
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    City                 |    PORT CHARLOTTE
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    State                |    FL
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    Zip                  |    33980-2012
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    Country              |    US
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    Telephone            |    941-766-7222
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    Fax                  |    941-766-0970
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Provider Business Mailing Address
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    Address Line         |    PO BOX 102222 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30368-2222
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    Country              |    US
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    Telephone            |    239-274-8200
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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       |    PA9105411
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    License Number State |    FL
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