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General NPI Number Information
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NPI Number | 1639777519
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Entity Type | Organization
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Legal Business Name | AIDAN AND ASSOCIATES L.L.C.
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 10/13/2020
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Provider Practice Location Address
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Address Line | 5505 STEWART ST
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City | MILTON
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State | FL
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Zip | 32570-4303
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Country | US
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Telephone | 850-564-2248
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 MANCHESTER CT
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City | MILTON
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State | FL
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Zip | 32571-7616
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADRIAN ALLEN ATTKISSON
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Credential |
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Telephone | 904-671-2436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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