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General NPI Number Information
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NPI Number | 1912713116
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Entity Type | Individual
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Provider Name | AARON HARWELL
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Gender | Male
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 8451 TEMPLE TERRACE HWY
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City | TEMPLE TERRACE
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State | FL
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Zip | 33637-5853
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Country | US
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Telephone | 813-631-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 2827 LOW COUNTRY PL APT 306
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City | LUTZ
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State | FL
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Zip | 33559-7437
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 40173
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License Number State | TX
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