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General NPI Number Information
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NPI Number | 1295117653
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Entity Type | Individual
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Provider Name | VERONICA L SUDEKUM MD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 114 SUTHERLIN DR # C-1
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City | WARNER ROBINS
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State | GA
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Zip | 31088-2259
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Country | US
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Telephone | 478-287-6144
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 749495
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City | ATLANTA
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State | GA
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Zip | 30374-9495
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Country | US
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Telephone | 855-963-2100
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Fax | 813-321-1296
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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 | 2081H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 8841
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License Number State | GA
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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 | 263324
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License Number State | MA
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