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General NPI Number Information
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NPI Number | 1962866368
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Entity Type | Individual
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Provider Name | ANGELA AARON PHD
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Gender | Female
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 628 MAIN STREET SUITE A
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642
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Country | US
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Telephone | 859-797-0221
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Fax | 463-218-9161
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Provider Business Mailing Address
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Address Line | PO BOX 1303
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-1303
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Country | US
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Telephone | 859-493-1593
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Fax | 463-218-9161
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 172872
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License Number State | KY
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