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General NPI Number Information
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NPI Number | 1881698652
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Entity Type | Individual
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Provider Name | SUNDAY U ERO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 11/16/2020
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Provider Practice Location Address
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Address Line | 14534 OLD SAINT AUGUSTINE RD STE 3210
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City | JACKSONVILLE
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State | FL
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Zip | 32258-2645
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Country | US
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Telephone | 904-880-1260
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Fax | 904-880-1210
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Provider Business Mailing Address
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Address Line | 1325 SAN MARCO BLVD STE 200
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8566
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Country | US
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Telephone | 904-346-3465
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Fax | 904-388-9644
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME75072
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | ME75072
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME75072
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License Number State | FL
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