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NPI 1710558564

NPI 1710558564 : AARON DOWLING DPT : EVANS, GA

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General NPI Number Information
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    NPI Number           |    1710558564
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    Entity Type          |    Individual 
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    Provider Name        |    AARON DOWLING DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/02/2021
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    Last Update Date     |    08/18/2021
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Provider Practice Location Address
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    Address Line         |    2520 ASSOCIATES WAY 
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    City                 |    EVANS
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    State                |    GA
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    Zip                  |    30809-3106
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    Country              |    US
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    Telephone            |    706-922-6550
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4521 GLENNWOOD DR 
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    City                 |    EVANS
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    State                |    GA
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    Zip                  |    30809-3223
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    Country              |    US
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    Telephone            |    
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT015524
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    License Number State |    GA
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