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General NPI Number Information
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NPI Number | 1952747040
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Entity Type | Organization
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Legal Business Name | SEOK CHEOL AHN, MD, PLLC
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 76 GREENVALE CIR
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1602
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Country | US
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Telephone | 917-863-3224
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Fax | 914-761-0573
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Provider Business Mailing Address
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Address Line | 76 GREENVALE CIR
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1602
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Country | US
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Telephone | 917-863-3224
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Fax | 914-761-0573
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Authorized Official
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Title or Position | OWNER
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Name | SEOK AHN
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Credential | MD
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Telephone | 917-863-3224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 193758
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License Number State | NY
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