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General NPI Number Information
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NPI Number | 1780692137
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Entity Type | Individual
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Provider Name | DARALEEN SITKA OTR
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Gender | Female
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | PSC 819 BOX 50
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City | FPO
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State | AE
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Zip | 09645-0050
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Country | ES
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Telephone | 34956847390
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 819 BOX 50
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City | FPO
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State | AE
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Zip | 09645-0050
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Country | ES
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Telephone | 34956847390
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 00445544
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License Number State | MD
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