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General NPI Number Information
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NPI Number | 1679559512
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Entity Type | Individual
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Provider Name | SUJATA KUMAR MD
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Gender | Female
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 6950 OUTREACH WAY
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City | NORTH PORT
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State | FL
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Zip | 34287-3405
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Country | US
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Telephone | 941-529-0200
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Fax | 855-212-2460
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Provider Business Mailing Address
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Address Line | 1750 17TH ST STE E
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City | SARASOTA
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State | FL
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Zip | 34234-8666
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Country | US
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Telephone | 941-529-0200
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Fax | 855-526-0216
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME80087
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License Number State | FL
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