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General NPI Number Information
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NPI Number | 1508429473
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Entity Type | Individual
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Provider Name | SUJAY ALVENCAR
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Gender | Male
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 33663 BAYVIEW MEDICAL DR UNIT 2
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City | LEWES
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State | DE
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Zip | 19958-1663
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Country | US
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Telephone | 302-645-9325
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Fax | 302-644-7162
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Provider Business Mailing Address
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Address Line | 1515 SAVANNAH RD FL 2
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City | LEWES
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State | DE
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Zip | 19958-1675
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Country | US
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Telephone | 302-645-3499
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Fax | 302-644-4830
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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 | 280120
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License Number State | MA
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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 | C1-0028363
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License Number State | DE
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