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General NPI Number Information
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NPI Number | 1285252510
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Entity Type | Organization
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Legal Business Name | SUN CITY INTERNAL MEDICINE PLLC
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 10503 W THUNDERBIRD BLVD STE 108
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City | SUN CITY
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State | AZ
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Zip | 85351-3047
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Country | US
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Telephone | 623-248-5939
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Fax | 623-248-5939
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Provider Business Mailing Address
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Address Line | PO BOX 10790
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City | GLENDALE
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State | AZ
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Zip | 85318-0790
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Country | US
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Telephone | 623-248-5939
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Fax | 623-248-6709
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Authorized Official
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Title or Position | OWNER
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Name | DR. VIDYA RAMAN
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Credential | MD
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Telephone | 623-248-5939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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