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General NPI Number Information
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NPI Number | 1932194677
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Entity Type | Individual
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Provider Name | CHRISTOPHER DAVID SULLIVAN M.D, M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 5555 W THUNDERBIRD RD
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City | GLENDALE
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State | AZ
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Zip | 85306
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Country | US
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Telephone | 602-865-5094
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Fax | 888-531-2944
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Provider Business Mailing Address
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Address Line | 5555 W THUNDERBIRD RD
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City | GLENDALE
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State | AZ
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Zip | 85306-4622
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Country | US
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Telephone | 602-865-5094
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Fax | 888-531-2944
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 095555
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 2009036609
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | MD432439
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 22041
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 0101238689
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 56878
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License Number State | AZ
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