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General NPI Number Information
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NPI Number | 1588804900
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Entity Type | Organization
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Legal Business Name | SUN CITY ELECTROPHYSIOLOGY, LLC
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | 13000 N 103RD AVE SUITE 73
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City | SUN CITY
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State | AZ
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Zip | 85351-3024
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Country | US
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Telephone | 623-972-7237
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Fax | 623-933-0116
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Provider Business Mailing Address
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Address Line | 13000 N 103RD AVE SUITE 73
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City | SUN CITY
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State | AZ
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Zip | 85351-3024
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Country | US
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Telephone | 623-972-7237
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Fax | 623-933-0116
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. MARK A. BURNS
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Credential | M.D.
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Telephone | 623-972-7237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 29591
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 29591
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License Number State | AZ
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