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General NPI Number Information
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NPI Number | 1316950868
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Entity Type | Individual
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Provider Name | DEEPAK SUD D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 07/09/2016
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Provider Practice Location Address
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Address Line | 228 W CHELTEN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19144-3803
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Country | US
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Telephone | 215-951-6570
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Fax |
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Provider Business Mailing Address
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Address Line | 52 RAMSGATE CT
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City | BLUE BELL
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State | PA
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Zip | 19422-2549
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Country | US
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Telephone | 215-767-8269
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC009823
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License Number State | PA
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