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NPI 1366007866

NPI 1366007866 : AARON WHITEMAN : PIKEVILLE, KY

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General NPI Number Information
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    NPI Number           |    1366007866
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    Entity Type          |    Individual 
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    Provider Name        |    AARON WHITEMAN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/09/2019
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    Last Update Date     |    07/10/2023
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Provider Practice Location Address
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    Address Line         |    911 BYPASS RD BLDG A 
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    City                 |    PIKEVILLE
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    State                |    KY
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    Zip                  |    41501-1602
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    Country              |    US
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    Telephone            |    606-430-3500
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    Fax                  |    606-218-4697
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Provider Business Mailing Address
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    Address Line         |    PO BOX 432 
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    City                 |    PIKEVILLE
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    State                |    KY
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    Zip                  |    41502-0432
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    Country              |    US
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    Telephone            |    606-430-3500
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    Fax                  |    606-218-4697
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    58025
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    58025
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    License Number State |    KY
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