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General NPI Number Information
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NPI Number | 1699527085
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Entity Type | Individual
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Provider Name | ARUN BABU
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Gender | Male
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 4744 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-2181
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Country | US
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Telephone | 863-644-1226
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Fax | 863-644-3756
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Provider Business Mailing Address
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Address Line | 10444 RIVERDALE RISE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-4074
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Country | US
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Telephone | 813-452-0055
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN30925
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License Number State | FL
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