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General NPI Number Information
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NPI Number | 1093015620
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Entity Type | Organization
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Legal Business Name | AJU GEORGE, M.D., P.A.
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 01/10/2015
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Provider Practice Location Address
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Address Line | 6068 S APOPKA VINELAND RD STE 10
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City | ORLANDO
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State | FL
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Zip | 32819-4449
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Country | US
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Telephone | 407-226-3335
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Fax | 407-264-8895
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Provider Business Mailing Address
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Address Line | 3307 KING GEORGE DR RM A
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City | ORLANDO
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State | FL
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Zip | 32835-5903
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Country | US
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Telephone | 407-902-8186
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AJU GEORGE
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Credential | M.D.
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Telephone | 407-226-3335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME93445
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License Number State | FL
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