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General NPI Number Information
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NPI Number | 1194743716
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Entity Type | Individual
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Provider Name | SANDEEP RAJ PANDIT M. D.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 516 S VAN BUREN RD
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City | EDEN
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State | NC
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Zip | 27288-5019
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Country | US
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Telephone | 336-623-9713
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Fax | 336-623-1031
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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 |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 55348
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 0101261655
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 200401108
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License Number State | NC
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