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General NPI Number Information
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NPI Number | 1326841305
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Entity Type | Organization
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Legal Business Name | PRIME DIRECT HEALTH LLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 690 E WARNER RD STE 131
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City | GILBERT
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State | AZ
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Zip | 85296-3057
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Country | US
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Telephone | 480-571-5934
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Fax | 480-809-9310
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Provider Business Mailing Address
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Address Line | 690 E WARNER RD STE 131
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City | GILBERT
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State | AZ
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Zip | 85296-3057
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Country | US
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Telephone | 480-571-5934
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Fax | 480-809-9310
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUNILDAT MAHESHWARI
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Credential | MD
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Telephone | 602-910-1487
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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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