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General NPI Number Information
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NPI Number | 1093728602
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Entity Type | Individual
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Provider Name | AMAURY ARAGON P.A.-C.
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 06/21/2013
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Provider Practice Location Address
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Address Line | 7142 LAUREL LN
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2664
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Country | US
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Telephone | 305-463-6690
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Fax | 305-463-6693
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Provider Business Mailing Address
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Address Line | PO BOX 5134
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City | HIALEAH
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State | FL
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Zip | 33014-1134
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Country | US
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Telephone | 305-463-6690
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Fax | 305-463-6693
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9101047
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9101047
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License Number State | FL
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