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General NPI Number Information
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NPI Number | 1255516548
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Entity Type | Organization
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Legal Business Name | AJEY B GOLWALA, MD ,PC
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 1012 PROCURE ST
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-2620
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Country | US
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Telephone | 919-552-5303
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Fax | 919-567-0004
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Provider Business Mailing Address
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Address Line | 2500 BLUE RIDGE RD SUITE 327
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City | RALEIGH
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State | NC
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Zip | 27607-6454
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Country | US
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Telephone | 919-787-5333
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Fax | 919-567-0004
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Authorized Official
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Title or Position | PRESIDENT
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Name | AJEY B GOLWALA
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Credential | MD
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Telephone | 919-787-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 207R00000X
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License Number State | NC
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