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General NPI Number Information
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NPI Number | 1255727392
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Entity Type | Individual
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Provider Name | DEEPAK VADEHRA DO
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Gender | Male
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 1021 MOREHEAD MEDICAL DR STE A
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City | CHARLOTTE
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State | NC
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Zip | 28204-2990
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Country | US
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Telephone | 980-442-2000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19305
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City | CHARLOTTE
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State | NC
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Zip | 28219-9305
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | C2-0024934
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C2-0024934
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License Number State | DE
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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 | 310551
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2018-01097
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License Number State | NC
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