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General NPI Number Information
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NPI Number | 1134441777
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Entity Type | Organization
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Legal Business Name | AARON PURDY MD PA
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Dates
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Enumeration Date | 02/24/2010
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 901 W HAMILTON ST
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City | OLNEY
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State | TX
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Zip | 76374-1725
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Country | US
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Telephone | 940-564-3546
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 100
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City | OLNEY
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State | TX
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Zip | 76374-0100
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AARON G PURDY
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Credential | M.D. P.A.
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Telephone | 940-564-3546
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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 | N4004
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License Number State | TX
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