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General NPI Number Information
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NPI Number | 1821283029
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Entity Type | Organization
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Legal Business Name | AESTHETIC AND PLASTIC SURGERY, INC
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 06/01/2009
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Provider Practice Location Address
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Address Line | 1120 POLARIS PKWY SUITE 120
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City | COLUMBUS
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State | OH
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Zip | 43240-4042
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Country | US
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Telephone | 614-840-9500
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Fax | 614-840-9556
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Provider Business Mailing Address
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Address Line | 1120 POLARIS PKWY SUITE 120
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City | COLUMBUS
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State | OH
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Zip | 43240-4042
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Country | US
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Telephone | 614-840-9500
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Fax | 614-840-9556
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Authorized Official
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Title or Position | SURGEON
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Name | DR. HAROON A AZIZ
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Credential | M.D.
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Telephone | 614-840-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | OH
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