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General NPI Number Information
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NPI Number | 1639242886
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Entity Type | Organization
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Legal Business Name | RAO V SUNKAVALLY MD
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 1999 MOWRY AVE SUITE 2D
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City | FREMONT
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State | CA
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Zip | 94538
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Country | US
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Telephone | 510-790-9025
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Fax | 510-790-9080
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Provider Business Mailing Address
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Address Line | 1999 MOWRY AVE SUITE 2D
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City | FREMONT
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State | CA
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Zip | 94538
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Country | US
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Telephone | 510-790-9025
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Fax | 510-790-9080
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAO V SUNKAVALLY
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Credential | MD
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Telephone | 510-790-9025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | A39536
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License Number State | CA
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