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General NPI Number Information
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NPI Number | 1053337717
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Entity Type | Individual
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Provider Name | SUNIL C KAZA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 5651 FRIST BLVD STE 603
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City | HERMITAGE
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State | TN
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Zip | 37076-2079
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Country | US
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Telephone | 615-889-1968
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Fax | 615-889-8527
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Provider Business Mailing Address
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Address Line | 5651 FRIST BLVD STE 410
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City | HERMITAGE
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State | TN
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Zip | 37076-2058
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Country | US
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Telephone | 615-889-1968
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Fax | 615-889-8527
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD34956
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License Number State | TN
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