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General NPI Number Information
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NPI Number | 1316079262
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Entity Type | Individual
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Provider Name | SULOCHANA DEVI CHERUKURI M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | BRODY 3E127 600 MOYE BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-6863
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Country | US
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Telephone | 252-744-3326
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Fax |
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Provider Business Mailing Address
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Address Line | 5 RICHLAND MEDICAL PARK DR
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City | COLUMBIA
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State | SC
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Zip | 29203-6863
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Country | US
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Telephone | 803-540-1000
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Fax | 803-540-1050
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 27862
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2009-00444
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License Number State | NC
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