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General NPI Number Information
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NPI Number | 1629564786
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Entity Type | Individual
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Provider Name | SHIVA MUKUND ARJUN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 3480 POLYNESIAN ISLE BLVD
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City | KISSIMMEE
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State | FL
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Zip | 34746-4654
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Country | US
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Telephone | 407-507-2615
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 HEMPSTEAD TURNPIKE DEPARTMENT OF INTERNAL MEDICINE
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City | EAST MEADOW
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State | NY
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Zip | 11554
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Country | US
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Telephone | 516-572-6501
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Fax | 516-572-5609
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 166809
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 323181
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License Number State | NY
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