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General NPI Number Information
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NPI Number | 1548254147
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Entity Type | Organization
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Legal Business Name | SUN HEALTH CORPORATION
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10401 W THUNDERBIRD BLVD
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City | SUN CITY
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State | AZ
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Zip | 85351-3004
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Country | US
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Telephone | 623-977-7211
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53568
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City | PHOENIX
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State | AZ
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Zip | 85072-3568
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Country | US
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Telephone | 623-544-5068
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Fax | 623-544-5093
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Authorized Official
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Title or Position | PHYSICIAN PRACTICE ADMINISTRATOR
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Name | PAUL BROSER
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Credential |
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Telephone | 623-544-5079
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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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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