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General NPI Number Information
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NPI Number | 1568745024
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Entity Type | Organization
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Legal Business Name | A & A CLINICS PLLC
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Dates
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Enumeration Date | 09/21/2011
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 700 E COLLEGE AVE
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City | STANTON
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State | KY
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Zip | 40380-2317
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Country | US
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Telephone | 606-693-0199
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Fax | 606-666-9480
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Provider Business Mailing Address
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Address Line | 700 E COLLEGE AVE
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City | STANTON
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State | KY
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Zip | 40380-2317
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Country | US
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Telephone | 606-693-0199
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Fax | 606-666-9480
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. MELECIO G ABORDO JR.
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Credential | M.D.
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Telephone | 606-693-0199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34645
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License Number State | KY
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