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General NPI Number Information
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NPI Number | 1801713631
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Entity Type | Organization
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Legal Business Name | AARON DIETRICH DO PLLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 315 GRANT AVE STE 2
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City | LAKE KATRINE
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State | NY
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Zip | 12449-5342
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Country | US
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Telephone | 845-409-0064
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Fax |
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Provider Business Mailing Address
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Address Line | 54 PINE BUSH RD
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City | STONE RIDGE
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State | NY
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Zip | 12484-5811
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Country | US
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Telephone | 845-409-0064
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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. AARON DIETRICH
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Credential | DO
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Telephone | 845-706-0773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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