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General NPI Number Information
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NPI Number | 1184564809
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Entity Type | Organization
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Legal Business Name | OMAJUS MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 8563 ARGYLE BUSINESS LOOP STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6613
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Country | US
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Telephone | 904-802-7048
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Fax | 904-802-7068
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Provider Business Mailing Address
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Address Line | 432 CHANDLER DR
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City | SAINT JOHNS
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State | FL
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Zip | 32259-9327
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Country | US
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Telephone | 786-612-1213
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | URDIF T ENCARNACION
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Credential |
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Telephone | 786-612-1213
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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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