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General NPI Number Information
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NPI Number | 1962658674
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Entity Type | Individual
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Provider Name | SUJEET S. ACHARYA MD
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Gender | Male
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 1411 N BECKLEY AVE PAVILION 111 STE 464
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City | DALLAS
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State | TX
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Zip | 75203
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Country | US
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Telephone | 214-948-3101
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Fax | 214-941-7633
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | N8748
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License Number State | TX
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