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General NPI Number Information
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NPI Number | 1871858316
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Entity Type | Individual
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Provider Name | SUSHRUSHA ARJYAL MD
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Gender | Female
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Dates
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Enumeration Date | 07/11/2012
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 110 LATTNER CT STE 100
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City | MORRISVILLE
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State | NC
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Zip | 27560-7886
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Country | US
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Telephone | 919-342-3627
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Fax | 919-342-3939
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Provider Business Mailing Address
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Address Line | 110 LATTNER CT STE 100
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City | MORRISVILLE
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State | NC
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Zip | 27560-7886
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Country | US
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Telephone | 919-342-3627
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Fax | 919-342-3939
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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 | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | RTL
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 2017-00818
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License Number State | NC
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