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General NPI Number Information
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NPI Number | 1336645431
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Entity Type | Individual
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Provider Name | ARUN AJMERA MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 2400 PRATT ST
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City | DURHAM
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State | NC
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Zip | 27705-3976
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Country | US
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Telephone | 919-684-5068
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Fax | 919-684-4836
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Provider Business Mailing Address
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Address Line | 2400 PRATT ST
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City | DURHAM
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State | NC
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Zip | 27705-3976
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Country | US
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Telephone | 919-684-5068
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Fax | 919-684-4836
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 2024-00910
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License Number State | NC
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