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General NPI Number Information
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NPI Number | 1336702828
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Entity Type | Individual
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Provider Name | SUMANA REDDY
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Gender | Female
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 101 MANNING DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4220
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Country | US
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Telephone | 984-974-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 102 MASON FARM RD
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City | CHAPEL HILL
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State | NC
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Zip | 27599-6134
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Country | US
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Telephone | 984-974-4462
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 250508
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | V9111
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License Number State | TX
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