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General NPI Number Information
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NPI Number | 1053381897
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Entity Type | Individual
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Provider Name | MARVIN ARONOVITZ D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 13479 E 14 MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-6304
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Country | US
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Telephone | 586-264-7300
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Fax | 586-268-4630
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Provider Business Mailing Address
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Address Line | 3408 WEST RD
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City | TRENTON
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State | MI
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Zip | 48183-2323
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Country | US
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Telephone | 734-676-4664
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Fax | 734-676-2434
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | MA000522
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License Number State | MI
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