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General NPI Number Information
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NPI Number | 1770748147
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Entity Type | Individual
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Provider Name | ARKSARAPUK JITTIRAT M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2008
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 11100 EUCLID AVE SUITE MATHER 1800
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-844-5685
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Fax | 216-910-6208
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Provider Business Mailing Address
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Address Line | 11100 EUCLID AVE SUITE MATHER 1800
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City | CLEVELAND
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State | OH
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Zip | 44106-1716
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Country | US
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Telephone | 216-844-5685
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Fax | 216-910-6208
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A116024
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD-17725
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License Number State | HI
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 35.129509
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License Number State | OH
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