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General NPI Number Information
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NPI Number | 1235257726
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Entity Type | Individual
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Provider Name | GULSHAN A SULTAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1600 CLINGAN RIDGE DR
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City | CLEVELAND
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State | TN
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Zip | 37312
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Country | US
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Telephone | 423-472-3141
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Fax | 423-478-5160
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Provider Business Mailing Address
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Address Line | PO BOX 5808 1600 CLINGAN RIDGE DR
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City | CLEVELAND
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State | TN
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Zip | 37320-5808
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Country | US
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Telephone | 423-472-3141
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Fax | 423-478-5160
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | TN-15906
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License Number State | TN
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