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General NPI Number Information
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NPI Number | 1235931593
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Entity Type | Individual
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Provider Name | APARNA JAYARAM MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 557 BROOKDALE DR
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City | STATESVILLE
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State | NC
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Zip | 28677-4107
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Country | US
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Telephone | 704-873-6475
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Fax |
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Provider Business Mailing Address
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Address Line | 104 WINDY KNOLL DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-4730
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Country | US
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Telephone | 240-499-4559
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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