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General NPI Number Information
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NPI Number | 1700818531
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Entity Type | Individual
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Provider Name | ARUN MANIKUMAR
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2460 CURTIS ELLIS DR
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-2237
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Country | US
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Telephone | 252-443-8172
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 409540
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City | ATLANTA
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State | GA
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Zip | 30384-9540
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Country | US
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Telephone |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 200501244
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License Number State | NC
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