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General NPI Number Information
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NPI Number | 1699494153
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Entity Type | Individual
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Provider Name | AARON MANGIN
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Gender | Male
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Dates
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Enumeration Date | 08/26/2022
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1431 OPUS PL STE 110
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1164
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Country | US
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Telephone | 888-279-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 OPUS PL STE 110
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1164
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Country | US
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Telephone | 888-279-0002
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1125707
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 061073482
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209.026233
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28243197A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 71013243A
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License Number State | IN
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