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General NPI Number Information
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NPI Number | 1689991564
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Entity Type | Individual
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Provider Name | NANDINI SUNKIREDDY MD
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Gender | Female
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 5820 CLARION ST STE 101
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City | CUMMING
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State | GA
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Zip | 30040-0389
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Country | US
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Telephone | 770-764-1234
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Fax | 770-215-1862
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Provider Business Mailing Address
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Address Line | 5820 CLARION ST, SUITE 101
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City | CUMMING
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State | GA
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Zip | 30040-4946
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Country | US
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Telephone | 770-764-1234
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Fax | 770-215-1862
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 76688
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License Number State | GA
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