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General NPI Number Information
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NPI Number | 1891934790
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Entity Type | Individual
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Provider Name | AARON RAY KETCHER DNP, FNP, CRNA, NSPM
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Gender | Male
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 6101 S RURAL RD STE 112
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City | TEMPE
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State | AZ
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Zip | 85283-2910
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Country | US
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Telephone | 602-610-7274
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Fax |
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Provider Business Mailing Address
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Address Line | 3317 S HIGLEY RD STE 114-425
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City | GILBERT
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State | AZ
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Zip | 85297-5436
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Country | US
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Telephone | 602-610-7274
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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 | AP10632
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | CRNA0759
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License Number State | AZ
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