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General NPI Number Information
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NPI Number | 1073920096
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Entity Type | Organization
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Legal Business Name | AMARO INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 1901 MEDI PARK DR 1048
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City | AMARILLO
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State | TX
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Zip | 79106-2110
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Country | US
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Telephone | 806-576-4999
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Fax | 806-589-1062
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Provider Business Mailing Address
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Address Line | 1901 MEDI PARK DR 1048
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City | AMARILLO
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State | TX
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Zip | 79106-2110
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Country | US
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Telephone | 806-576-4999
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Fax | 806-589-1062
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Authorized Official
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Title or Position | D.O.
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Name | DR. JUSTIN AARON AMARO
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Credential | D.O.
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Telephone | 806-576-4999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P6322
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License Number State | TX
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