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General NPI Number Information
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NPI Number | 1316189905
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Entity Type | Individual
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Provider Name | ARUN GEORGE JOSEPH MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 1165 DUNLAWTON AVE SUITE 101
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City | PORT ORANGE
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State | FL
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Zip | 32127-2924
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Country | US
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Telephone | 386-760-0815
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Fax | 386-274-4354
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Provider Business Mailing Address
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Address Line | 1671 N CLYDE MORRIS BLVD SUITE 100
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City | DAYTONA BEACH
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State | FL
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Zip | 32117-5590
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Country | US
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Telephone | 309-363-9811
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 118614
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME118614
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License Number State | FL
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