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General NPI Number Information
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NPI Number | 1205879624
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Entity Type | Individual
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Provider Name | AARON KUMP PA
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 975 BAPTIST WAY EMERGENCY DEPARTMENT
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City | HOMESTEAD
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State | FL
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Zip | 33033
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Country | US
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Telephone | 786-243-8510
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Fax | 786-243-5863
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Provider Business Mailing Address
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Address Line | 555 NE 34TH ST APT 207
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City | MIAMI
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State | FL
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Zip | 33137-4031
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Country | US
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Telephone | 786-368-6311
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9102685
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 006719
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA051752
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110001906
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License Number State | VA
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