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General NPI Number Information
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NPI Number | 1043385115
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Entity Type | Organization
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Legal Business Name | SUNSHINE PRIMARY CARE PA
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 33300 EGYPT LN SUITE A400
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City | MAGNOLIA
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State | TX
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Zip | 77354-2739
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Country | US
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Telephone | 281-825-1654
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Fax | 281-259-0618
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Provider Business Mailing Address
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Address Line | 33300 EGYPT LN SUITE A400
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City | MAGNOLIA
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State | TX
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Zip | 77354-2739
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Country | US
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Telephone | 281-825-1654
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Fax | 281-259-0618
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SABARI LAKSHMI SUNDARRAJ
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Credential | MD
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Telephone | 281-825-1654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M2830
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License Number State | TX
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