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General NPI Number Information
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NPI Number | 1881682805
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Entity Type | Individual
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Provider Name | AARON T. SCHWAAB M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 900 RIDGE ST
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City | STOUGHTON
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State | WI
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Zip | 53589-1864
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Country | US
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Telephone | 608-873-6611
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Fax | 608-873-2255
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Provider Business Mailing Address
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Address Line | 6310 MOURNING DOVE DR
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City | MC FARLAND
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State | WI
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Zip | 53558-9018
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Country | US
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Telephone | 608-873-6611
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Fax | 608-873-2255
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036106456
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License Number State | IL
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