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General NPI Number Information
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NPI Number | 1588717227
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Entity Type | Individual
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Provider Name | PRAGATHEESHWAR THIRUNAVUKARASU MBBS
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1841 QUIET CV
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3985
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Country | US
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Telephone | 910-323-2626
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40908
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City | FAYETTEVILLE
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State | NC
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Zip | 28309-0908
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Country | US
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Telephone | 910-615-6949
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Fax | 910-615-9761
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | Q4861
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 32436
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | Q4861
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 270472
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2020-00591
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License Number State | NC
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