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General NPI Number Information
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NPI Number | 1134943897
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Entity Type | Organization
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Legal Business Name | AURORA MEDICAL CARE
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 832 E SHOTWELL ST
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City | BAINBRIDGE
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State | GA
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Zip | 39819-4146
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Country | US
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Telephone | 229-234-6146
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Fax | 229-207-4127
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Provider Business Mailing Address
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Address Line | 832 E SHOTWELL ST
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City | BAINBRIDGE
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State | GA
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Zip | 39819-4146
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Country | US
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Telephone | 229-231-6146
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Fax | 229-207-4127
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA FRANCES TYUS
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Credential | FNP-C
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Telephone | 229-234-6146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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