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General NPI Number Information
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NPI Number | 1538033519
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Entity Type | Individual
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Provider Name | DR. GODSWILL MELFORD ARUGU
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Gender | Male
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 3924 RIVERVIEW DR
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City | JURUPA VALLEY
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State | CA
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Zip | 92509-6611
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Country | US
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Telephone | 657-479-3272
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Fax |
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Provider Business Mailing Address
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Address Line | 13300 CROSSROADS PKWY N STE 450
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91746-3405
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Country | US
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Telephone | 657-479-3272
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 19688
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License Number State | CA
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