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General NPI Number Information
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NPI Number | 1417714551
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Entity Type | Organization
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Legal Business Name | WARD MEDICAL CONSULTING LLC
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 159 N 3RD ST
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City | MACCLENNY
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State | FL
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Zip | 32063-2103
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Country | US
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Telephone | 229-300-7694
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Fax |
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Provider Business Mailing Address
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Address Line | 6294 SE 182ND BLVD
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City | JASPER
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State | FL
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Zip | 32052-6722
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Country | US
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Telephone | 229-300-7694
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AARON BUTCH WARD
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Credential | MD
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Telephone | 229-300-7694
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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 |
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License Number State |
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