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General NPI Number Information
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NPI Number | 1033325030
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Entity Type | Organization
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Legal Business Name | SUN CITY PULMONARY CRITICAL CARE
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 4821 WILLIAMS DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4745
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Country | US
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Telephone | 361-452-8360
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Fax |
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Provider Business Mailing Address
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Address Line | 4821 WILLIAMS DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4745
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Country | US
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Telephone | 361-452-8360
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Fax | 361-452-8359
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PRADYUMNA CHARY MUMMADY
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Credential | M.D., F.C.C.P.
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Telephone | 956-568-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | K6171
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License Number State | TX
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