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NPI 1891270617

NPI 1891270617 : ARRON ACHEY DPT : CHESAPEAKE, VA

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General NPI Number Information
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    NPI Number           |    1891270617
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    Entity Type          |    Individual 
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    Provider Name        |    ARRON ACHEY DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/27/2018
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    Last Update Date     |    09/01/2021
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Provider Practice Location Address
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    Address Line         |    680 KINGSBOROUGH SQ STE B 
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    City                 |    CHESAPEAKE
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    State                |    VA
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    Zip                  |    23320-4988
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    Country              |    US
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    Telephone            |    757-547-0434
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    Fax                  |    757-547-0625
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Provider Business Mailing Address
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    Address Line         |    350 NEW FIDELITY CT 
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    City                 |    GARNER
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    State                |    NC
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    Zip                  |    27529-2665
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    Country              |    US
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    Telephone            |    919-258-2714
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    Fax                  |    410-648-4878
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    24070
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    J1-0003979
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    License Number State |    DE
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    2305213774
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    License Number State |    VA
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