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General NPI Number Information
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NPI Number | 1871734319
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Entity Type | Organization
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Legal Business Name | JANUS MEDICAL P.C
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Dates
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Enumeration Date | 03/12/2009
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 129 SAINT NICHOLAS AVE
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City | BROOKLYN
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State | NY
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Zip | 11237-4039
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Country | US
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Telephone | 718-821-0643
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Fax |
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Provider Business Mailing Address
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Address Line | 129 SAINT NICHOLAS AVE
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City | BROOKLYN
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State | NY
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Zip | 11237-4039
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Country | US
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Telephone | 718-821-0643
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MUKUL ARYA
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Credential | M.D
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Telephone | 718-821-0643
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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 | 226009
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License Number State | NY
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