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General NPI Number Information
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NPI Number | 1215799481
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Entity Type | Organization
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Legal Business Name | PHYSICIANS ALIGNED
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 1301 MONUMENT RD STE 19
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City | JACKSONVILLE
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State | FL
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Zip | 32225-6462
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Country | US
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Telephone | 904-724-9334
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Fax | 904-725-3120
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Provider Business Mailing Address
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Address Line | 1301 MONUMENT RD STE 19
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City | JACKSONVILLE
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State | FL
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Zip | 32225-6462
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Country | US
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Telephone | 904-724-9334
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Fax | 904-725-3120
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Authorized Official
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Title or Position | OWNER
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Name | NATHAN ROGER PERRY JR.
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Credential | MD
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Telephone | 904-349-6779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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