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General NPI Number Information
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NPI Number | 1871856724
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Entity Type | Individual
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Provider Name | AARON LEROY CRAIG D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 600 CAISSON HILL RD
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City | FORT RILEY
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State | KS
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Zip | 66442-7037
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Country | US
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Telephone | 785-239-7377
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Fax | 785-239-7249
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Provider Business Mailing Address
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Address Line | 600 CAISSON HILL RD
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City | FORT RILEY
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State | KS
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Zip | 66442-7037
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Country | US
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Telephone | 785-239-7377
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Fax | 785-239-7249
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 05-39192
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 05-39192
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License Number State | KS
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