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General NPI Number Information
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NPI Number | 1467465138
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Entity Type | Individual
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Provider Name | ROOPAM SOOD-KHANDPUR M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 05/12/2021
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Provider Practice Location Address
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Address Line | 100 EMANCIPATION DR
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City | HAMPTON
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State | VA
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Zip | 23667-3160
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Country | US
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Telephone | 757-803-5505
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Fax | 443-512-2834
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Provider Business Mailing Address
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Address Line | 5309 SHOAL CREEK RD
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City | SUFFOLK
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State | VA
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Zip | 23435-4228
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Country | US
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Telephone | 757-968-3130
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101237257
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 0101237257
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License Number State | VA
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