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General NPI Number Information
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NPI Number | 1861386385
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Entity Type | Organization
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Legal Business Name | RUSS R. ARJAL MD, PC
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 77 CASA ST STE 106
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93405-5804
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Country | US
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Telephone | 805-541-1021
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Fax |
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Provider Business Mailing Address
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Address Line | 3940 BROAD ST STE 7 PMB 390
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7017
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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 | MEMBER
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Name | RUSS ARJAL
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Credential | MD
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Telephone | 206-661-7283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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