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General NPI Number Information
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NPI Number | 1922499896
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Entity Type | Individual
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Provider Name | AARON EPPLER
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Gender | Male
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Dates
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Enumeration Date | 02/12/2015
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Last Update Date | 02/16/2015
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Provider Practice Location Address
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Address Line | 648 GRASSFIELD PKWY SUITE 1
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City | CHESAPEAKE
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State | VA
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Zip | 23322-7465
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Country | US
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Telephone | 757-738-1325
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Fax |
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Provider Business Mailing Address
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Address Line | 817 KEMP MEADOW DR
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City | CHESAPEAKE
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State | VA
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Zip | 23320-5027
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Country | US
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Telephone | 757-709-0850
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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 | 120502091
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License Number State | VA
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