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General NPI Number Information
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NPI Number | 1588215008
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Entity Type | Individual
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Provider Name | AARON JOEL SPOONER MD
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Gender | Male
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 6550 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2717
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Country | US
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Telephone | 713-441-6511
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Fax |
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Provider Business Mailing Address
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Address Line | 2604 W HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77025-1602
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Country | US
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Telephone | 713-391-4016
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Fax |
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | S2684
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License Number State | TX
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