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General NPI Number Information
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NPI Number | 1861511198
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Entity Type | Individual
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Provider Name | JOANNA D SIKKEMA ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9250 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33174-3414
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Country | US
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Telephone | 305-552-2342
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Fax | 305-552-2099
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Provider Business Mailing Address
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Address Line | 8820 SW 162ND ST
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-3515
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Country | US
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Telephone | 305-253-0811
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Fax | 305-253-0811
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 61776-2
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License Number State | FL
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