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NPI 1013728138

NPI 1013728138 : PETER AHN CHIROPRACTIC NJ P.C : NORTHVALE, NJ

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General NPI Number Information
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    NPI Number           |    1013728138
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    Entity Type          |    Organization 
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    Legal Business Name  |    PETER AHN CHIROPRACTIC NJ P.C 
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Dates
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    Enumeration Date     |    01/17/2025
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    Last Update Date     |    04/02/2025
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Provider Practice Location Address
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    Address Line         |    271 LIVINGSTON ST STE T 
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    City                 |    NORTHVALE
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    State                |    NJ
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    Zip                  |    07647-1916
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    Country              |    US
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    Telephone            |    518-763-6790
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    280 MADISON AVE RM 600 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10016-0830
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    Country              |    US
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    Telephone            |    518-763-6790
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     PETER  AHN 
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    Credential           |    DC
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    Telephone            |    518-763-6790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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