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General NPI Number Information
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NPI Number | 1588907067
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Entity Type | Individual
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Provider Name | REBECCA ANN SUNDLING DPM, MPH
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Gender | Female
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Dates
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Enumeration Date | 04/02/2013
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 6050 NORTHLAND DR NE STE 180
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City | ROCKFORD
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State | MI
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Zip | 49341-9258
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Country | US
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Telephone | 616-363-9833
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Fax | 616-363-9701
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Provider Business Mailing Address
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Address Line | 2144 E PARIS AVE SE STE 100
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-6117
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Country | US
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Telephone | 616-281-0666
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Fax | 616-281-0752
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 5901002665
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License Number State | MI
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