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General NPI Number Information
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NPI Number | 1285922328
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Entity Type | Individual
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Provider Name | ARJUNA JAMES CUDDEBACK D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 616 MEIJER DR STE 101
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City | CHARLOTTE
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State | MI
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Zip | 48813-8457
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Country | US
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Telephone | 517-543-7976
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Fax |
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Provider Business Mailing Address
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Address Line | 616 MEIJER DR STE 101
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City | CHARLOTTE
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State | MI
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Zip | 48813-8457
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Country | US
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Telephone | 517-543-7976
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25IB12865600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 5101027647
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 02004984A
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License Number State | IN
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