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General NPI Number Information
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NPI Number | 1780128686
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Entity Type | Individual
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Provider Name | AARON HUBBARD LPN
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Gender | Male
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 7901 HENRY AVE F-105
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City | PHILADELPHIA
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State | PA
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Zip | 19128-3060
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Country | US
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Telephone | 267-251-8127
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Fax |
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Provider Business Mailing Address
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Address Line | 37 THOMAS JEFFERSON BLVD
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City | NEWARK
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State | DE
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Zip | 19702-3093
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Country | US
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Telephone | 267-251-8127
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Fax | 302-266-4860
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN250850L
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License Number State | PA
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