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General NPI Number Information
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NPI Number | 1689617698
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Entity Type | Individual
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Provider Name | AJU GEORGE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 5694 WINDHOVER DR
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City | ORLANDO
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State | FL
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Zip | 32819-7935
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Country | US
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Telephone | 407-226-3335
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Fax | 855-832-0379
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Provider Business Mailing Address
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Address Line | 3307 KING GEORGE DR
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City | ORLANDO
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State | FL
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Zip | 32835-5903
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Country | US
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Telephone | 407-902-8186
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Fax | 407-264-8895
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME93445
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License Number State | FL
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