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General NPI Number Information
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NPI Number | 1871034272
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Entity Type | Individual
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Provider Name | SUJIT KUMAR ROUTRAY MD
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Gender | Male
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Dates
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Enumeration Date | 03/17/2017
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 6850 LAKE NONA BLVD
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City | ORLANDO
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State | FL
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Zip | 32827-7408
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Country | US
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Telephone | 321-697-1730
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Fax |
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Provider Business Mailing Address
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Address Line | 809 UNIVERSITY BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2029
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Country | US
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Telephone | 205-759-7111
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Fax | 407-518-3923
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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 | 45518
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License Number State | AL
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