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Individual
AARON SCOTT CARLISLE
Active
Individual
AARON SCOTT CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057378A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201115420
—
IN
01
—
P01221086
RR MEDICARE PTAN
IN
Enumeration date
01/05/2006
Last updated
04/19/2017
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