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General NPI Number Information
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NPI Number | 1245301878
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Entity Type | Individual
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Provider Name | AARON KOVAC D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 15215 S 48TH ST STE 156
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City | PHOENIX
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State | AZ
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Zip | 85044-9139
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Country | US
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Telephone | 480-704-8818
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Fax | 480-704-8819
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Provider Business Mailing Address
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Address Line | 411 W DESERT FLOWER LN
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City | PHOENIX
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State | AZ
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Zip | 85045-0450
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Country | US
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Telephone | 480-283-0050
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7294
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License Number State | AZ
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