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General NPI Number Information
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NPI Number | 1699934521
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Entity Type | Individual
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Provider Name | AARON ENNIS BA
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Gender | Male
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 805 N SALISBURY BLVD
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City | SALISBURY
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State | MD
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Zip | 21801-3677
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Country | US
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Telephone | 410-334-6687
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Fax | 410-334-6700
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Provider Business Mailing Address
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Address Line | 828 AIRPAX RD BLDG B STE 300
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City | CAMBRIDGE
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State | MD
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Zip | 21613-6405
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Country | US
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Telephone | 410-228-3929
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Fax | 410-228-3810
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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