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General NPI Number Information
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NPI Number | 1689134702
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Entity Type | Individual
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Provider Name | SRIVYSHNAVI NARRA MD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2019
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 13041 N. DEL WEBB BLVD STE 200
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City | SUN CITY
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State | AZ
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Zip | 85351
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Country | US
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Telephone | 623-832-0300
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Fax | 623-285-2801
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Provider Business Mailing Address
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Address Line | 13041 N. DEL WEBB BLVD STE 200
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City | SUN CITY
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State | AZ
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Zip | 85351
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Country | US
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Telephone | 623-832-0300
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Fax | 623-285-2801
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 72477
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License Number State | AZ
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