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General NPI Number Information
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NPI Number | 1598704603
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Entity Type | Individual
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Provider Name | AARON GINGRICH
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Gender | Male
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 5514 GODFREY RD
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City | GODFREY
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State | IL
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Zip | 62035-2508
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Country | US
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Telephone | 618-466-1227
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Fax | 618-466-1228
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Provider Business Mailing Address
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Address Line | 6 VICTORY DRIVE
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City | LIBERTY
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State | MO
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Zip | 64068
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Country | US
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Telephone | 816-883-2660
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Fax | 816-792-9819
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2703
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License Number State | IL
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