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General NPI Number Information
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NPI Number | 1023532058
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Entity Type | Individual
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Provider Name | SURESH KUMAR MD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 507 N BRIGHTLEAF BLVD STE 202
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City | SMITHFIELD
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State | NC
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Zip | 27577-4405
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Country | US
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Telephone | 919-934-3022
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Fax | 919-934-4133
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Provider Business Mailing Address
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Address Line | 5221 PARAMOUNT PKWY STE 220
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City | MORRISVILLE
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State | NC
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Zip | 27560-5490
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Country | US
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Telephone | 984-215-4111
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | ME163578
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 2025-01383
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License Number State | NC
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