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General NPI Number Information
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NPI Number | 1811480502
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Entity Type | Individual
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Provider Name | AARON MEHLMAN FNP
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Gender | Male
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 06/07/2018
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Provider Practice Location Address
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Address Line | 415 W VENTURA BLVD STE 200
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City | CAMARILLO
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State | CA
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Zip | 93010-9128
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Country | US
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Telephone | 805-484-2486
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Fax |
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Provider Business Mailing Address
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Address Line | 4026 HILTON HEAD WAY
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City | TARZANA
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State | CA
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Zip | 91356-5706
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Country | US
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Telephone | 818-324-9170
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95008945
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License Number State | CA
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