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General NPI Number Information
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NPI Number | 1437665528
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Entity Type | Individual
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Provider Name | AARON CARLSON AGNP
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Gender | Male
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Dates
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Enumeration Date | 12/27/2017
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1501 N AMBURN RD STE 9
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City | TEXAS CITY
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State | TX
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Zip | 77591-2466
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Country | US
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Telephone | 281-218-7200
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Fax | 409-359-7403
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Provider Business Mailing Address
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Address Line | 1501 N AMBURN RD STE 9
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City | TEXAS CITY
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State | TX
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Zip | 77591-2466
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Country | US
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Telephone | 281-218-7200
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Fax | 409-359-7403
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP135593
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APN.0993486-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN.0993486-NP
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License Number State | CO
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