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General NPI Number Information
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NPI Number | 1336918044
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Entity Type | Organization
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Legal Business Name | AERIE HEALTHCARE LLC
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Dates
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Enumeration Date | 12/21/2023
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 33 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-4004
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Country | US
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Telephone | 603-986-3356
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2685
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City | NORTH CONWAY
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State | NH
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Zip | 03860-2685
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Country | US
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Telephone | 603-451-2371
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CO-CEO
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Name | MIKLOS OYLER
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Credential |
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Telephone | 603-986-3356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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