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General NPI Number Information
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NPI Number | 1144646829
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Entity Type | Organization
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Legal Business Name | AERIE THERAPY
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 2535 16TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3417
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Country | US
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Telephone | 661-869-1074
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Fax | 661-869-1075
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Provider Business Mailing Address
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Address Line | 2535 16TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3417
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Country | US
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Telephone | 661-869-1074
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Fax | 661-869-1075
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | ANA LAURA MAGANA
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Credential | MS
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Telephone | 661-369-2101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 39354
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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