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General NPI Number Information
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NPI Number | 1861703969
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Entity Type | Organization
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Legal Business Name | AARON ENGELS DDS PC
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 11149 RESEARCH BLVD SUITE 270
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City | AUSTIN
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State | TX
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Zip | 78759-5279
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Country | US
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Telephone | 512-346-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 12229 MONTCLAIR BND
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City | AUSTIN
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State | TX
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Zip | 78732-1229
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Country | US
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Telephone | 512-268-6374
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AARON WAYNE ENGELS
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Credential | D.D.S
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Telephone | 512-269-6374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 20662
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License Number State | TX
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