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General NPI Number Information
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NPI Number | 1427597244
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Entity Type | Individual
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Provider Name | AARON FRALICKER APRN - AUTONOMOUS
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Gender | Male
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 3880 COLONIAL BLVD STE 1A
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City | FORT MYERS
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State | FL
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Zip | 33966-1062
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Country | US
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Telephone | 239-936-1233
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Fax | 855-552-3776
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Provider Business Mailing Address
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Address Line | 3880 COLONIAL BLVD STE 1A
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City | FORT MYERS
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State | FL
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Zip | 33966-1062
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Country | US
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Telephone | 239-936-1233
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Fax | 239-936-8576
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | ARNP9330103
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN9330103
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License Number State | FL
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