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General NPI Number Information
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NPI Number | 1235445230
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Entity Type | Individual
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Provider Name | ARON T GEELAN DMD
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Gender | Male
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 101 SW MAIN ST STE 290
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City | PORTLAND
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State | OR
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Zip | 97204-3244
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Country | US
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Telephone | 503-223-1322
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Fax |
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Provider Business Mailing Address
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Address Line | 101 SW MAIN ST STE 290
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City | PORTLAND
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State | OR
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Zip | 97204-3244
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Country | US
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Telephone | 503-223-1322
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D9499
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License Number State | OR
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