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General NPI Number Information
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NPI Number | 1720952815
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Entity Type | Organization
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Legal Business Name | ADRIANA SULLIVAN, M.D., PLLC
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1600 COIT RD STE 402
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City | PLANO
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State | TX
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Zip | 75075-6173
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Country | US
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Telephone | 972-612-8829
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Fax | 972-612-2875
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Provider Business Mailing Address
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Address Line | 1600 COIT RD STE 402
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City | PLANO
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State | TX
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Zip | 75075-6173
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Country | US
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Telephone | 972-612-8829
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Fax | 972-612-2875
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ADRIANA SULLIVAN
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Credential | MD
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Telephone | 817-681-0344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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