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General NPI Number Information
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NPI Number | 1083706147
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Entity Type | Organization
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Legal Business Name | JOHN H. AHN. D.O.;PL
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1840 MEASE DR SUITE 305
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-6602
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Country | US
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Telephone | 727-796-4166
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Fax | 727-669-5849
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Provider Business Mailing Address
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Address Line | 1840 MEASE DR SUITE 305
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-6602
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Country | US
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Telephone | 727-796-4166
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Fax | 727-669-5849
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN H AHN
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Credential | D.O.
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Telephone | 727-796-4166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | OS0007005
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License Number State | FL
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