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General NPI Number Information
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NPI Number | 1114715067
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Entity Type | Individual
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Provider Name | SUNITA RANDHAWA
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Gender | Female
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 20062 S ELLSWORTH RD STE 105
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-0350
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Country | US
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Telephone | 480-454-4375
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Fax |
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Provider Business Mailing Address
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Address Line | 230 E CIVIC CENTER DR APT 2080
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City | GILBERT
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State | AZ
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Zip | 85296-0103
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Country | US
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Telephone | 916-541-5825
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State | AZ
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