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NPI 1588955678

NPI 1588955678 : AOPM, LLC : HAVERTOWN, PA

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General NPI Number Information
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    NPI Number           |    1588955678
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    Entity Type          |    Organization 
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    Legal Business Name  |    AOPM, LLC 
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Dates
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    Enumeration Date     |    04/25/2011
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    Last Update Date     |    06/16/2025
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Provider Practice Location Address
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    Address Line         |    324 DARBY RD 
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    City                 |    HAVERTOWN
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    State                |    PA
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    Zip                  |    19083-4635
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    Country              |    US
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    Telephone            |    610-352-1710
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    Fax                  |    610-352-1740
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Provider Business Mailing Address
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    Address Line         |    PO BOX 95 
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    City                 |    UPPER DARBY
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    State                |    PA
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    Zip                  |    19082-0095
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    Country              |    US
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    Telephone            |    610-352-1710
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JARRAD  TELLER 
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    Credential           |    D.C.
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    Telephone            |    610-352-1710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    DC-007527-L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    DC10647
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    MD035566E
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    License Number State |    PA
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