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General NPI Number Information
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NPI Number | 1053878736
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Entity Type | Individual
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Provider Name | AFSAR SUNESARA PT, DPT, LAT, ATC
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Gender | Male
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 16811 SOUTHWEST FWY STE 100
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City | SUGAR LAND
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State | TX
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Zip | 77479-4728
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Country | US
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Telephone | 281-275-0450
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Fax |
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Provider Business Mailing Address
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Address Line | 8211 LONGVALE DR
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City | ROSENBERG
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State | TX
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Zip | 77469-5046
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Country | US
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Telephone | 512-947-1411
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1366114
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License Number State | TX
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