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General NPI Number Information
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NPI Number | 1275885949
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Entity Type | Individual
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Provider Name | B. AARON BOND-MARTIN MS, LADAC,AADC
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Gender | Male
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 10201 W MARKHAM ST STE 234
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2128
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Country | US
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Telephone | 501-291-3489
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1878
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72115-1878
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Country | US
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Telephone | 501-291-3489
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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 | 167G00000X
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Taxonomy Name | Licensed Psychiatric Technician
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License Number | NCPT2014-199
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | A465
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License Number State | AR
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