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General NPI Number Information
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NPI Number | 1700730959
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Entity Type | Individual
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Provider Name | SRIHARI GURUDEV NARENDRA EMT
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Gender | Male
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 5777 E MAYO BLVD
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City | PHOENIX
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State | AZ
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Zip | 85054-4502
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Country | US
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Telephone | 480-342-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 E BEARDSLEY RD APT 2104
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City | PHOENIX
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State | AZ
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Zip | 85024-3423
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Country | US
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Telephone | 669-220-8774
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Fax |
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | AZ00014763
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License Number State | AZ
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