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General NPI Number Information
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NPI Number | 1245204700
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Entity Type | Organization
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Legal Business Name | NORTH RALEIGH GASTROENTEROLOGY, P.A.
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 7560 CARPENTER FIRE STATION RD STE 303A
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City | CARY
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State | NC
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Zip | 27519-9637
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Country | US
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Telephone | 919-846-9011
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Fax | 844-587-9567
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Provider Business Mailing Address
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Address Line | PO BOX 98629
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City | RALEIGH
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State | NC
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Zip | 27624-8629
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Country | US
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Telephone | 919-846-9011
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Fax | 844-587-9567
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAJAT CHANDER
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Credential | MD
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Telephone | 919-846-9011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 9400030
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License Number State | NC
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