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General NPI Number Information
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NPI Number | 1144969940
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Entity Type | Individual
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Provider Name | CHRISTOPHER J AHERNE DPT
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Gender | Male
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Dates
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Enumeration Date | 05/31/2022
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 411 STATE ROUTE 17M
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City | MONROE
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State | NY
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Zip | 10950-4123
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Country | US
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Telephone | 845-507-0477
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Fax |
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Provider Business Mailing Address
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Address Line | 306 WILLOW GROVE RD
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City | STONY POINT
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State | NY
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Zip | 10980-3429
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Country | US
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Telephone | 845-553-3630
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 047449-01
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License Number State | NY
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