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General NPI Number Information
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NPI Number | 1861035487
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Entity Type | Individual
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Provider Name | NICHOLAS AHERN LMHC
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Gender | Male
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Dates
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Enumeration Date | 10/27/2019
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 59 WOODY HILL RD
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City | HOPE VALLEY
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State | RI
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Zip | 02832-1254
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Country | US
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Telephone | 401-536-4764
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Fax |
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Provider Business Mailing Address
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Address Line | 1315 NEW LONDON AVE
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City | CRANSTON
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State | RI
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Zip | 02920-1410
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Country | US
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Telephone |
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MHC01095
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License Number State | RI
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