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General NPI Number Information
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NPI Number | 1144492992
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Entity Type | Organization
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Legal Business Name | ALLEN DAVIDOFF, M.D., P.C.
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 2 OVERLOOK RD
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2442
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Country | US
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Telephone | 914-949-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 2 OVERLOOK RD
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City | WHITE PLAINS
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State | NY
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Zip | 10605-2442
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Country | US
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Telephone | 914-949-0330
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. JENNIFER SIMMONDS
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Credential |
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Telephone | 914-949-0330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 110706
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License Number State | NY
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