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General NPI Number Information
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NPI Number | 1184966624
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Entity Type | Individual
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Provider Name | SUDEEP DHOJ THAPA MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2013
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 4204 MURDOCKSVILLE RD
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City | WEST END
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State | NC
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Zip | 27376-8871
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Country | US
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Telephone | 910-255-0055
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Fax | 910-255-0060
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Provider Business Mailing Address
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Address Line | 205 PAGE RD
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City | PINEHURST
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State | NC
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Zip | 28374-8798
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Country | US
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Telephone | 910-255-0055
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 2025-01514
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License Number State | NC
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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 | 2025-01514
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License Number State | NC
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