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General NPI Number Information
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NPI Number | 1336279298
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Entity Type | Individual
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Provider Name | WILLIAM MATTHIAS AIERSTOK JR. MD
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 46 BROOKMEADE DRIVE BROOKMEADE BAPTIST HOME
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City | RHINEBECK
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State | NY
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Zip | 12572-4646
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Country | US
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Telephone | 845-876-2071
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Fax | 845-876-2197
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Provider Business Mailing Address
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Address Line | 18 HEWLETT ROAD
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City | RED HOOK
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State | NY
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Zip | 12571-1818
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Country | US
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Telephone | 845-758-1039
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Fax | 845-876-2197
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 128457
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License Number State | NY
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