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General NPI Number Information
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NPI Number | 1790275543
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Entity Type | Individual
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Provider Name | MARVIN VICTOR SINDEL III NP-C
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Gender | Male
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Dates
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Enumeration Date | 05/17/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 1241 E 8TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32206
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Country | US
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Telephone | 904-260-8541
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Fax |
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Provider Business Mailing Address
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Address Line | 5384 HERONVIEW CT
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City | JACKSONVILLE
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State | FL
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Zip | 32257-3726
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Country | US
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Telephone | 904-260-8541
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9327953
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License Number State | FL
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