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General NPI Number Information
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NPI Number | 1730680133
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Entity Type | Individual
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Provider Name | REBECCA SUTPHIN DC, MA
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Gender | Female
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1071 PEMBERTON HILL RD STE 201
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City | APEX
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State | NC
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Zip | 27502-4268
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Country | US
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Telephone | 919-909-1095
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Fax |
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Provider Business Mailing Address
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Address Line | 7808 GLENHARDEN DR
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City | RALEIGH
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State | NC
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Zip | 27613-1521
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4814
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License Number State | NC
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