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General NPI Number Information
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NPI Number | 1295980605
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Entity Type | Individual
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Provider Name | AARON NEUSTADT M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/26/2008
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Last Update Date | 11/26/2008
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Provider Practice Location Address
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Address Line | 101 PACIFICA SUITE 160
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City | IRVINE
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State | CA
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Zip | 92618-3337
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Country | US
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Telephone | 949-453-0122
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Fax |
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Provider Business Mailing Address
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Address Line | 101 PACIFICA SUITE 160
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City | IRVINE
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State | CA
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Zip | 92618
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Country | US
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Telephone | 949-453-0122
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C38831
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License Number State | CA
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