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General NPI Number Information
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NPI Number | 1598381089
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Entity Type | Individual
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Provider Name | AARON J SURBAUGH DO
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Gender | Male
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Dates
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Enumeration Date | 06/19/2020
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | UNIT 5142
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City | APO
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State | AP
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Zip | 96368-5142
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Country | US
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Telephone | 315-630-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 52ND MDG UNIT 3690
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City | APO
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State | AE
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Zip | 09126
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Country | US
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Telephone | 314-452-8333
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 77488-21
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License Number State | WI
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