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General NPI Number Information
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NPI Number | 1184818288
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Entity Type | Individual
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Provider Name | AARON P ROBLES SR. MPT, CFMT
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Gender | Male
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 04/25/2023
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Provider Practice Location Address
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Address Line | 2416 MISTY WATER DR W
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City | JACKSONVILLE
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State | FL
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Zip | 32246-9363
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Country | US
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Telephone | 904-683-6538
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Fax |
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Provider Business Mailing Address
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Address Line | 2416 MISTY WATER DR W
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City | JACKSONVILLE
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State | FL
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Zip | 32246-9363
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Country | US
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Telephone | 904-683-6538
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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 |
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License Number State |
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