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General NPI Number Information
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NPI Number | 1932907615
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Entity Type | Organization
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Legal Business Name | RURAL PHYSICIANS GROUP - PANNU PLLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 201 14TH ST
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City | WHEATLAND
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State | WY
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Zip | 82201-3201
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Country | US
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Telephone | 509-322-3636
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Fax | 866-368-6349
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Provider Business Mailing Address
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Address Line | 5575 DTC PKWY STE 225
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3073
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Country | US
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Telephone | 303-390-1940
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Fax | 866-368-6349
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Authorized Official
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Title or Position | OWNER
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Name | SUKHBIR S PANNU
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Credential |
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Telephone | 702-933-3266
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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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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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