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General NPI Number Information
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NPI Number | 1700960168
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Entity Type | Individual
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Provider Name | SUHAS PAI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 2555 COURT DR SUITE 400
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City | GASTONIA
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State | NC
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Zip | 28054-2180
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Country | US
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Telephone | 704-864-5550
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Fax | 704-864-7448
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Provider Business Mailing Address
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Address Line | 237 PARK VIEW DR
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City | BELMONT
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State | NC
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Zip | 28012-2984
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Country | US
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Telephone | 843-860-3904
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 200701141
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License Number State | NC
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