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General NPI Number Information
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NPI Number | 1528300365
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Entity Type | Individual
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Provider Name | ARUPA YASHSWINI KHUSIAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 5728 MAJOR BLVD SUITE 528
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City | ORLANDO
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State | FL
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Zip | 32819-7945
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Country | US
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Telephone | 407-352-2542
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Fax | 407-352-2547
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Provider Business Mailing Address
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Address Line | 5728 MAJOR BLVD SUITE 528
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City | ORLANDO
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State | FL
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Zip | 32819-7945
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Country | US
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Telephone | 407-352-2542
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Fax | 407-352-2547
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME126976
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License Number State | FL
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