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General NPI Number Information
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NPI Number | 1407237829
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Entity Type | Organization
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Legal Business Name | SUNRISE PEDIATRICS PA
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 11920 WESTHEIMER RD STE. E
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City | HOUSTON
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State | TX
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Zip | 77077-6666
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Country | US
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Telephone | 281-679-6165
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Fax |
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Provider Business Mailing Address
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Address Line | 11920 WESTHEIMER RD STE. E
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City | HOUSTON
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State | TX
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Zip | 77077-6676
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Country | US
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Telephone | 281-679-6165
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Fax | 281-858-2369
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | AMARNATH CHAMKUR
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Credential | MD
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Telephone | 281-679-6165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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