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General NPI Number Information
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NPI Number | 1689044489
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Entity Type | Individual
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Provider Name | AARON SIZEMORE LMT
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Gender | Male
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Dates
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Enumeration Date | 10/06/2015
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 4627 DIXIE HWY
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City | LOUISVILLE
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State | KY
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Zip | 40216-2605
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Country | US
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Telephone | 502-449-7834
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Fax |
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Provider Business Mailing Address
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Address Line | 8293 JOHN STEELE RD
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City | ROBARDS
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State | KY
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Zip | 42452-9526
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Country | US
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Telephone | 270-860-0688
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | BMTMTH00220868
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License Number State | KY
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