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General NPI Number Information
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NPI Number | 1114353703
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Entity Type | Individual
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Provider Name | AARON C VICK APN FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 27 WESTWOOD DR
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City | ERLANGER
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State | KY
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Zip | 41018-2636
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Country | US
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Telephone | 859-609-9714
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Fax |
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Provider Business Mailing Address
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Address Line | 27 WESTWOOD DR
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City | ERLANGER
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State | KY
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Zip | 41018-2636
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Country | US
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Telephone | 859-609-9714
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 57696
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA.18959-NP
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-127977
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3010152
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License Number State | KY
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