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General NPI Number Information
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NPI Number | 1336600329
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Entity Type | Individual
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Provider Name | SARASI JAYARATNE DO
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Gender | Female
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Dates
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Enumeration Date | 03/31/2019
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 6354 WALKER LN STE 400
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City | ALEXANDRIA
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State | VA
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Zip | 22310-3252
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Country | US
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Telephone | 571-472-7324
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Fax | 571-472-7325
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Provider Business Mailing Address
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Address Line | 46569 HAMPSHIRE STATION DR
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City | POTOMAC FALLS
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State | VA
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Zip | 20165-7334
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Country | US
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Telephone | 571-480-3610
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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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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 0102208744
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License Number State | VA
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