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General NPI Number Information
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NPI Number | 1225023047
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Entity Type | Individual
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Provider Name | AARON CHRISTOPHER MACK MD
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Gender | Male
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 245 TAYLOR STATION RD
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City | COLUMBUS
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State | OH
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Zip | 43213-4400
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Country | US
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Telephone | 614-866-9134
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Fax | 614-866-6964
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Provider Business Mailing Address
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Address Line | 245 TAYLOR STATION RD
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City | COLUMBUS
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State | OH
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Zip | 43213-4400
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Country | US
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Telephone | 614-866-9134
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Fax | 614-866-6964
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35.081529
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License Number State | OH
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