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General NPI Number Information
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NPI Number | 1417695313
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Entity Type | Individual
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Provider Name | SANA DURRANI-SIMMONS
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Gender | Female
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Dates
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Enumeration Date | 05/22/2022
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 16716 E PALISADES BLVD STE 101A
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-3846
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Country | US
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Telephone | 480-587-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 2185 E HOWE AVE APT F-2010
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City | TEMPE
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State | AZ
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Zip | 85281-0954
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Country | US
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Telephone | 708-846-9118
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 011731
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License Number State | AZ
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