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General NPI Number Information
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NPI Number | 1245292911
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Entity Type | Organization
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Legal Business Name | DIABETES THYROID & ENDOCRINOLOGY
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 1134 N ROAD ST STE 6
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3365
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Country | US
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Telephone | 252-335-5128
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Fax | 252-562-6704
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Provider Business Mailing Address
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Address Line | 1134 N ROAD ST STE 6
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-3365
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Country | US
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Telephone | 252-335-5128
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Fax | 252-562-6704
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUVINAY B PARANJAPE
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Credential | M.D.
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Telephone | 252-335-5128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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