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General NPI Number Information
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NPI Number | 1336010149
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Entity Type | Organization
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Legal Business Name | HEIDI SUNGURLU DO PC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1223 HIGUERA ST STE 203
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3165
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Country | US
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Telephone | 805-864-5330
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Fax | 805-866-7562
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Provider Business Mailing Address
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Address Line | 1223 HIGUERA ST STE 203
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-3165
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Country | US
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Telephone | 805-864-5330
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Fax | 805-866-7562
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Authorized Official
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Title or Position | OWNER
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Name | HEIDI SUNGURLU
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Credential | DO
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Telephone | 805-865-7984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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