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General NPI Number Information
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NPI Number | 1861012213
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Entity Type | Individual
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Provider Name | CHRISTY SUNNY MD
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Gender | Female
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Dates
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Enumeration Date | 04/25/2020
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 3499 S MERCY RD
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City | GILBERT
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State | AZ
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Zip | 85297-0437
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Country | US
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Telephone | 480-355-8525
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 E MELROSE ST APT 3036
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City | GILBERT
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State | AZ
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Zip | 85297-0094
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 70719
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License Number State | AZ
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