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General NPI Number Information
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NPI Number | 1235040684
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Entity Type | Organization
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Legal Business Name | COPPER TREE HEALTH LLC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 215 S POWER RD STE 207
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City | MESA
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State | AZ
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Zip | 85206-5238
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Country | US
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Telephone | 480-414-2568
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Fax |
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Provider Business Mailing Address
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Address Line | 3082 LUSITANA DR
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City | LIVERMORE
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State | CA
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Zip | 94550-9685
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SAKET SANJAY BHANVADIA
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Credential |
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Telephone | 925-791-1085
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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 |
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License Number State |
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