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General NPI Number Information
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NPI Number | 1922028182
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Entity Type | Individual
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Provider Name | AARON THOMAS PARR M.S., ATC
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Gender | Male
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1901 DEGROODT RD SW
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City | PALM BAY
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State | FL
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Zip | 32908-1206
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Country | US
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Telephone | 321-956-5000
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Fax | 321-956-5009
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Provider Business Mailing Address
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Address Line | 426 FLAT RIVER ST SW
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City | PALM BAY
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State | FL
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Zip | 32908-8132
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Country | US
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Telephone | 321-953-4933
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL 1872
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 910
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License Number State | TN
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