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General NPI Number Information
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NPI Number | 1679520522
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Entity Type | Individual
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Provider Name | ARUNDATHI P. NARAYANAPPA P.A.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 01/27/2020
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Provider Practice Location Address
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Address Line | 11034 N 23RD DR # 105B
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City | PHOENIX
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State | AZ
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Zip | 85029-4743
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Country | US
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Telephone | 602-639-0189
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Fax |
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Provider Business Mailing Address
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Address Line | 4530 E RAY RD SUITE #190
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City | PHOENIX
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State | AZ
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Zip | 85044-6094
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Country | US
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Telephone | 480-940-5420
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Fax | 480-940-5480
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2015
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License Number State | AZ
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