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General NPI Number Information
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NPI Number | 1407928484
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Entity Type | Organization
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Legal Business Name | ARUN K JAIN MD PC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 2481 HWY 88
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City | HEPHZIBAH
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State | GA
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Zip | 30815
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Country | US
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Telephone | 706-592-4077
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Fax | 706-592-2598
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Provider Business Mailing Address
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Address Line | 2481 HWY 88
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City | HEPHZIBAH
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State | GA
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Zip | 30815
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Country | US
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Telephone | 706-592-4077
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Fax | 706-592-2598
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ARUN K JAIN
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Credential | MD
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Telephone | 706-592-4077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 027073
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License Number State | GA
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