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General NPI Number Information
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NPI Number | 1912614108
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Entity Type | Individual
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Provider Name | SYDNEY OPP PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/28/2022
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 203 N MARION ST
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City | TAMPA
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State | FL
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Zip | 33602-4914
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Country | US
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Telephone | 813-474-9804
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Fax | 813-540-6025
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Provider Business Mailing Address
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Address Line | 12650 W 64TH AVE UNIT E501
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City | ARVADA
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State | CO
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Zip | 80004-3893
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Country | US
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Telephone | 303-431-4127
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Fax | 303-431-4553
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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 |
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License Number State |
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