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General NPI Number Information
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NPI Number | 1811036817
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Entity Type | Individual
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Provider Name | ANSHUL MOCHERLA RAO MD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 34 HEALTHPARK WAY STE 100C
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City | CLAYTON
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State | NC
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Zip | 27520-4497
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Country | US
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Telephone | 919-585-8850
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Fax | 919-585-8869
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Provider Business Mailing Address
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Address Line | 225 BRIGHTWATER DR
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City | LILLINGTON
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State | NC
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Zip | 27546-5156
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Country | US
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Telephone | 910-965-7190
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Fax | 910-965-7297
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 2012-01192
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License Number State | NC
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