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General NPI Number Information
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NPI Number | 1093822421
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Entity Type | Individual
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Provider Name | LEE A. SURKIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 10/25/2019
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Provider Practice Location Address
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Address Line | 2459 EMERALD PL STE 102
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City | GREENVILLE
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State | NC
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Zip | 27834-5739
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Country | US
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Telephone | 252-757-3939
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Fax | 252-757-3973
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Provider Business Mailing Address
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Address Line | 2459 EMERALD PL STE 102
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City | GREENVILLE
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State | NC
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Zip | 27834-5739
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Country | US
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Telephone | 252-757-3939
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Fax | 252-757-3973
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 0101246452
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 9700775
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 284359
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 9700775
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License Number State | NC
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