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General NPI Number Information
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NPI Number | 1659711844
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Entity Type | Organization
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Legal Business Name | PAGE MEDICAL, PA
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 1215 ARISTA DR. STE. 102
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City | ROCKWALL
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State | TX
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Zip | 75032
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Country | US
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Telephone | 214-617-8834
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Fax |
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Provider Business Mailing Address
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Address Line | 1215 ARISTA DR. STE. 102
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City | ROCKWALL
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State | TX
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Zip | 75032
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Country | US
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Telephone | 214-617-8834
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | BRENT AAFORD
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Credential | M.D.
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Telephone | 214-663-4958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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