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General NPI Number Information
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NPI Number | 1639313315
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Entity Type | Individual
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Provider Name | VANITHA VASUDEVAN M.D
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Gender | Female
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Dates
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Enumeration Date | 04/27/2009
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 8415 N PIMA RD STE 280
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4488
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Country | US
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Telephone | 480-587-6520
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Fax | 480-882-5856
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Provider Business Mailing Address
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Address Line | 8415 N PIMA RD STE 280
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4488
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Country | US
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Telephone | 480-587-6520
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Fax | 480-882-5856
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME 119341
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 77874
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License Number State | AZ
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