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General NPI Number Information
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NPI Number | 1790318228
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Entity Type | Individual
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Provider Name | SUNNY ISRANI PT, MHS
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Gender | Male
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 10300 4TH ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33716-3810
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Country | US
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Telephone | 727-568-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 4067 71ST AVE N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-4536
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Country | US
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Telephone | 317-657-9222
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT30871
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License Number State | FL
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