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General NPI Number Information
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NPI Number | 1730657115
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Entity Type | Individual
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Provider Name | RAED SULEIMAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 10/16/2022
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Provider Practice Location Address
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Address Line | 934 COX RD
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City | GASTONIA
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State | NC
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Zip | 28054-3456
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Country | US
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Telephone | 980-834-5868
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Fax |
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Provider Business Mailing Address
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Address Line | 934 COX RD
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City | GASTONIA
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State | NC
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Zip | 28054-3456
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Country | US
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Telephone |
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | 2022-02643
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 2022-02643
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License Number State | NC
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