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General NPI Number Information
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NPI Number | 1336368919
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Entity Type | Individual
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Provider Name | TODD WILLIAM AIKEN MD
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 428 E VANN RD
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City | GREENEVILLE
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State | TN
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Zip | 37743-7202
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Country | US
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Telephone | 423-278-0950
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Fax | 423-278-1973
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Provider Business Mailing Address
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Address Line | PO BOX 15004
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City | KNOXVILLE
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State | TN
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Zip | 37901-5004
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Country | US
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Telephone | 865-541-8895
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Fax | 865-633-4808
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 42119
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License Number State | TN
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