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General NPI Number Information
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NPI Number | 1073633475
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA CONSULTANTS OF ROCKLAND & BERGEN PA
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 354 OLD HOOK RD SUITE 207
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City | WESTWOOD
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State | NJ
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Zip | 07675-3246
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Country | US
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Telephone | 201-666-8500
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Fax | 201-666-5241
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Provider Business Mailing Address
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Address Line | 354 OLD HOOK RD SUITE 207
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City | WESTWOOD
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State | NJ
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Zip | 07675-3246
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Country | US
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Telephone | 201-666-8500
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Fax | 201-666-5241
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN V. BOSSO
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Credential | MD
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Telephone | 201-666-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State | NJ
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