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General NPI Number Information
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NPI Number | 1992054480
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Entity Type | Organization
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Legal Business Name | SUNITA ARYAL
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 16710 HIGHLAND AVE
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City | JAMAICA
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State | NY
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Zip | 11432-2626
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Country | US
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Telephone | 718-558-0280
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Fax | 718-558-0290
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Provider Business Mailing Address
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Address Line | 16710 HIGHLAND AVE
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City | JAMAICA
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State | NY
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Zip | 11432-2626
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Country | US
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Telephone | 718-558-0280
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Fax | 718-558-0290
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Authorized Official
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Title or Position | CEO
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Name | SUNITA ARYAL
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Credential | MD
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Telephone | 718-558-0280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 259111
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License Number State | NY
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