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General NPI Number Information
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NPI Number | 1265795918
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Entity Type | Individual
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Provider Name | AARON TODD CREEK MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 7720 US HIGHWAY 98 W
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-7230
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Country | US
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Telephone | 850-290-2154
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Fax |
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Provider Business Mailing Address
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Address Line | 68 S SUMMIT DR
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-4280
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME137849
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | ME137849
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License Number State | FL
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