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General NPI Number Information
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NPI Number | 1780892513
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Entity Type | Organization
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Legal Business Name | SINCLAIR & SINCLAIR P.A
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | 3872 SHERIDAN ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3634
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Country | US
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Telephone | 954-981-8481
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Fax | 954-983-5044
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Provider Business Mailing Address
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Address Line | 3872 SHERIDAN ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3634
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Country | US
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Telephone | 954-981-8481
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Fax | 954-983-5044
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Authorized Official
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Title or Position | PRESIDENT
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Name | STANLEY SINCLAIR
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Credential | M.D.
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Telephone | 954-981-8481
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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 | 33401
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License Number State | FL
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