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General NPI Number Information
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NPI Number | 1811653652
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Entity Type | Individual
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Provider Name | BEATRICE SINCLAIR-DOUGLAS
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Gender | Female
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Dates
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Enumeration Date | 11/16/2021
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Last Update Date | 11/16/2021
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Provider Practice Location Address
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Address Line | 1888 PEBBLE RDG APT 6
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City | MILFORD
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State | OH
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Zip | 45150-4530
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Country | US
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Telephone | 513-512-2908
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Fax |
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Provider Business Mailing Address
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Address Line | 1888 PEBBLE RDG APT 6
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City | MILFORD
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State | OH
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Zip | 45150-4530
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Country | US
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Telephone | 513-512-2908
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 4659627
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License Number State | OH
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