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General NPI Number Information
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NPI Number | 1225533177
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Entity Type | Individual
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Provider Name | AARON HIMOR
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Gender | Male
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 03/23/2018
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Provider Practice Location Address
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Address Line | 75 E SANTA CLARA ST
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City | SAN JOSE
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State | CA
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Zip | 95113-1827
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Country | US
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Telephone | 866-227-1211
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Fax |
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Provider Business Mailing Address
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Address Line | 1052 W 9TH ST APT C
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City | TRACY
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State | CA
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Zip | 95376-3717
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Country | US
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Telephone | 408-313-5056
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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