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General NPI Number Information
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NPI Number | 1063536530
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Entity Type | Individual
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Provider Name | AARON L. BURKETT PT, DPT, MTC
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/19/2011
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Provider Practice Location Address
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Address Line | 918 W FRANKLIN ST
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City | KENTON
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State | OH
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Zip | 43326-1720
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Country | US
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Telephone | 419-675-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 240 GIBSON STREET
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City | TIFFIN
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State | OH
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Zip | 44883-3340
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Country | US
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Telephone | 419-447-3075
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT-6245
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License Number State | OH
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