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General NPI Number Information
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NPI Number | 1730490772
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Entity Type | Individual
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Provider Name | AARON FRANCIS JOLLY MD
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Gender | Male
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 12/17/2014
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Provider Practice Location Address
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Address Line | 333 CITY BLVD W SUITE 400
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City | ORANGE
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State | CA
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Zip | 92868-2903
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Country | US
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Telephone | 714-456-3868
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Fax | 714-456-8895
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Provider Business Mailing Address
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Address Line | 333 CITY BLVD W SUITE 400
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City | ORANGE
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State | CA
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Zip | 92868-2903
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Country | US
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Telephone | 714-456-3868
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Fax | 714-456-8895
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A122258
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License Number State | CA
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