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General NPI Number Information
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NPI Number | 1255784492
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Entity Type | Individual
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Provider Name | SUNNY SAJJAD DPM, MS
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Gender | Male
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Dates
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Enumeration Date | 07/22/2016
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 1533 5TH ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-1901
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Country | US
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Telephone | 361-371-5544
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Fax |
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Provider Business Mailing Address
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Address Line | 5224 75TH ST STE D
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City | LUBBOCK
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State | TX
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Zip | 79424-2525
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Country | US
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Telephone | 806-712-1096
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 692087
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901002646
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | DP195976
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 692087
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License Number State | TX
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