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General NPI Number Information
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NPI Number | 1205047255
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Entity Type | Individual
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Provider Name | SUMAN CHOUDHURY M.D
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 3700 W NOLANA AVE
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City | MCALLEN
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State | TX
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Zip | 78504-4884
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Country | US
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Telephone | 956-213-2700
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Fax | 956-213-0812
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Provider Business Mailing Address
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Address Line | 200 CORPORATE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70508-3870
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Country | US
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Telephone | 800-893-9698
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.084736
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 236617
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 236617
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35.084736
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | P5348
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License Number State | TX
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