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General NPI Number Information
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NPI Number | 1306732052
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Entity Type | Organization
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Legal Business Name | SUNNYVALE ORTHOPAEDIC AND REHABILITATION CLINIC LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 1314 FEDERAL ST
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City | PITTSBURGH
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State | PA
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Zip | 15212-4706
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Country | US
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Telephone | 215-608-8937
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Fax |
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Provider Business Mailing Address
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Address Line | 2340 E ALLEGHENY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-4433
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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 | OWNER
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Name | DR. ANULI NWAIFE MKPARU
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Credential |
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Telephone | 215-608-8937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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