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General NPI Number Information
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NPI Number | 1093048100
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Entity Type | Individual
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Provider Name | AARON MACDONALD A.T.C.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 601 PERIMETER DR SUITE 200
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City | LEXINGTON
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State | KY
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Zip | 40517-4121
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Country | US
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Telephone | 859-323-5533
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Fax |
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Provider Business Mailing Address
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Address Line | 4704 BOCA LN
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City | LEXINGTON
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State | KY
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Zip | 40515-6463
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Country | US
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Telephone | 859-361-5232
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | AT775
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License Number State | KY
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