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General NPI Number Information
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NPI Number | 1699972018
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Entity Type | Individual
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Provider Name | AARON MICHAEL FLETCHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 1106 HOSPITAL DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6381
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Country | US
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Telephone | 678-902-9495
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Fax | 678-815-1548
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Provider Business Mailing Address
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Address Line | 1106 HOSPITAL DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6381
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Country | US
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Telephone | 678-902-9495
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Fax | 678-815-1548
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | R8157
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 4301102731
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 072750
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License Number State | GA
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