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General NPI Number Information
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NPI Number | 1144259995
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Entity Type | Individual
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Provider Name | SAROJA S JAYAKAR M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 21610 E 9 MILE RD
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1812
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Country | US
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Telephone | 586-775-6010
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Fax |
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Provider Business Mailing Address
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Address Line | 21610 E 9 MILE RD
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-1812
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Country | US
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Telephone | 586-775-6010
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | SJ033040
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License Number State | MI
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