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General NPI Number Information
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NPI Number | 1891400743
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Entity Type | Individual
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Provider Name | SHEILA T DOLCE PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 1300 DON JUAN RD
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City | HERTFORD
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State | NC
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Zip | 27944-9340
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Country | US
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Telephone | 252-426-5391
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Fax |
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Provider Business Mailing Address
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Address Line | 15320 NE 12TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-5846
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Country | US
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Telephone | 954-248-9753
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-12688
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License Number State | NC
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