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General NPI Number Information
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NPI Number | 1003855859
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Entity Type | Individual
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Provider Name | AIMEE S. ALTSCHUL-LATZMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 05/13/2013
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Provider Practice Location Address
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Address Line | 140 SHERMAN ST 3RD FLOOR
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City | FAIRFIELD
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State | CT
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Zip | 06824-5849
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Country | US
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Telephone | 203-955-1461
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Fax | 203-955-1464
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Provider Business Mailing Address
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Address Line | 140 SHERMAN ST 3RD FLOOR
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City | FAIRFIELD
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State | CT
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Zip | 06824-5849
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Country | US
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Telephone | 203-955-1461
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Fax | 203-955-1464
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 207617
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 040346
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License Number State | CT
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