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General NPI Number Information
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NPI Number | 1972876647
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Entity Type | Individual
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Provider Name | AARON P AVON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/10/2012
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Last Update Date | 02/10/2012
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Provider Practice Location Address
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Address Line | 2045 NW 9TH ST
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City | CORVALLIS
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State | OR
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Zip | 97330-1460
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Country | US
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Telephone | 541-752-2468
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Fax | 541-757-8150
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Provider Business Mailing Address
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Address Line | 2045 NW 9TH ST
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City | CORVALLIS
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State | OR
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Zip | 97330-1460
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Country | US
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Telephone | 541-752-2468
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Fax | 541-757-8150
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0011345
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 20806
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License Number State | IA
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