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General NPI Number Information
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NPI Number | 1104830652
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Entity Type | Individual
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Provider Name | DEBORAH L. ALDRIDGE P.A.
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Gender | Female
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 01/04/2013
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Provider Practice Location Address
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Address Line | 1803 S RIDGEVIEW RD
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City | OLATHE
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State | KS
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Zip | 66062-2376
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Country | US
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Telephone | 913-829-0505
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Fax | 913-338-1311
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Provider Business Mailing Address
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Address Line | PO BOX 741331
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City | ATLANTA
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State | GA
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Zip | 30374-1331
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Country | US
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Telephone | 913-469-0503
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Fax | 913-469-5267
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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 | 15-00612
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License Number State | KS
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