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General NPI Number Information
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NPI Number | 1497872402
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Entity Type | Individual
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Provider Name | SANDEEP YARLAGADDA MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 9700 N SAGUARO BLVD
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-6241
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Country | US
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Telephone | 509-715-1330
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Fax |
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Provider Business Mailing Address
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Address Line | 9700 N SAGUARO BLVD
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City | FOUNTAIN HILLS
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State | AZ
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Zip | 85268-6241
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Country | US
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Telephone | 602-671-7990
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Fax | 602-755-0456
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD437639
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 48970
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License Number State | AZ
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