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General NPI Number Information
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NPI Number | 1114345253
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Entity Type | Individual
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Provider Name | DAGNY ELIZABETH VON AHRENS M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2014
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 111 E 210TH ST
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City | BRONX
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State | NY
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Zip | 10467-2401
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Country | US
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Telephone | 718-920-5731
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Fax |
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Provider Business Mailing Address
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Address Line | 64 MIDLAND PL APT 2324
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City | TUCKAHOE
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State | NY
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Zip | 10707-4247
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Country | US
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Telephone | 267-221-9008
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 286718
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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