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General NPI Number Information
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NPI Number | 1104195916
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Entity Type | Individual
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Provider Name | TERENCE LEE AHERN MD
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Gender | Male
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Dates
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Enumeration Date | 12/22/2011
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 300 PASTEUR DR
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City | PALO ALTO
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State | CA
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Zip | 94304-2203
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Country | US
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Telephone | 650-723-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 300 PASTEUR DR
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City | PALO ALTO
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State | CA
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Zip | 94304-2203
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Country | US
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Telephone | 650-723-4000
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A123764
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | M-13191
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License Number State | ID
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD170843
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License Number State | OR
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