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General NPI Number Information
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NPI Number | 1699033050
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Entity Type | Organization
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Legal Business Name | RONALD AIELLO, D.O, INC.
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 5208 MAHONING AVE SUITE 209
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-1858
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Country | US
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Telephone | 330-792-5247
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Fax |
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Provider Business Mailing Address
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Address Line | 5208 MAHONING AVE SUITE 209
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-1858
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Country | US
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Telephone | 330-792-5247
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RONALD P AIELLO
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Credential | D.O.
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Telephone | 330-792-5247
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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 | 34-1999
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License Number State | OH
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