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General NPI Number Information
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NPI Number | 1215345780
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Entity Type | Individual
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Provider Name | AARON HENRY MEGAZZI D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 08/08/2019
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Provider Practice Location Address
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Address Line | 5668 OKEMOS RD
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City | HASLETT
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State | MI
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Zip | 48840-9539
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Country | US
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Telephone | 517-580-5676
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Fax | 517-575-0277
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Provider Business Mailing Address
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Address Line | 1795 NEMOKE CT APT 10
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City | HASLETT
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State | MI
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Zip | 48840-8679
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Country | US
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Telephone | 805-331-4133
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT40782
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501019149
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License Number State | MI
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