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General NPI Number Information
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NPI Number | 1720019110
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Entity Type | Organization
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Legal Business Name | AA MANAGEMENT CORP
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 1401 E 7TH ST SUITE 100
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City | CHARLOTTE
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State | NC
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Zip | 28204-2407
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Country | US
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Telephone | 704-333-5606
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Fax | 704-333-5611
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Provider Business Mailing Address
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Address Line | 401 HAWTHORNE LN SUITE 110/121
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City | CHARLOTTE
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State | NC
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Zip | 28204-2484
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Country | US
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Telephone | 704-333-5606
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Fax | 704-333-5611
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MR. CHAD DANIEL HOWARD
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Credential | M.D.
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Telephone | 704-333-5606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NC
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