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General NPI Number Information
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NPI Number | 1750231007
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Entity Type | Organization
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Legal Business Name | PRIMARY MEDICINE OF SUNNYVALE PLLC
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 3635 N BELT LINE RD # 110
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City | SUNNYVALE
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State | TX
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Zip | 75182-9235
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Country | US
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Telephone | 214-735-0403
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Fax |
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Provider Business Mailing Address
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Address Line | 307 SPRING CT
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City | SUNNYVALE
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State | TX
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Zip | 75182-2407
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Country | US
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Telephone | 214-735-0403
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Fax |
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Authorized Official
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Title or Position | DO
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Name | NISHANT KOSHY
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Credential |
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Telephone | 214-735-0403
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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 |
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License Number State |
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