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General NPI Number Information
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NPI Number | 1730506288
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Entity Type | Individual
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Provider Name | STEPHANIE M AHRENS DO
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Gender | Female
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Dates
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Enumeration Date | 03/22/2014
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 2720 FAIRVIEW AVE N
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City | ROSEVILLE
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State | MN
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Zip | 55113-1306
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Country | US
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Telephone | 651-377-8359
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Fax |
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Provider Business Mailing Address
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Address Line | 2720 FAIRVIEW AVE N
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City | ROSEVILLE
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State | MN
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Zip | 55113-1306
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Country | US
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Telephone | 651-241-5290
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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 | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 34.012172
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | 76657
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License Number State | MN
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