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General NPI Number Information
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NPI Number | 1437949781
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Entity Type | Organization
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Legal Business Name | ALOE SURGICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 5653 FRIST BLVD STE 734
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City | HERMITAGE
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State | TN
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Zip | 37076-2066
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Country | US
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Telephone | 615-437-2028
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Fax |
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Provider Business Mailing Address
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Address Line | 5653 FRIST BLVD STE 734
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City | HERMITAGE
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State | TN
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Zip | 37076-2066
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Country | US
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Telephone | 615-437-2028
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KARA BROCK
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Credential | DPM
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Telephone | 615-437-2028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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