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General NPI Number Information
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NPI Number | 1497100838
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Entity Type | Organization
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Legal Business Name | AIMEE ELIZABETH WIDNER, M.D., PLLC
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 746 WILBURN RD
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-8902
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Country | US
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Telephone | 501-270-4116
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Fax |
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Provider Business Mailing Address
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Address Line | 746 WILBURN RD
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-8902
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Country | US
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Telephone | 501-270-4116
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DR. AIMEE ELIZABETH WIDNER
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Credential | M.D.
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Telephone | 501-454-3334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | E9529
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License Number State | AR
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