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General NPI Number Information
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NPI Number | 1073540076
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Entity Type | Individual
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Provider Name | DAVID A AXELROD M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 11/08/2012
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Provider Practice Location Address
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Address Line | 1620 S QUEEN ST
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City | YORK
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State | PA
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Zip | 17403-4637
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Country | US
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Telephone | 717-843-6663
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Fax | 717-852-0670
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Provider Business Mailing Address
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Address Line | 1620 S QUEEN ST
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City | YORK
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State | PA
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Zip | 17403-4637
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Country | US
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Telephone | 717-843-6663
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Fax | 717-852-0670
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 4301035945
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 25MA08321700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MD447274
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License Number State | PA
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