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General NPI Number Information
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NPI Number | 1215340708
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Entity Type | Organization
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Legal Business Name | ADVANCED ALLERGY & ASTHMA LLC
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 701 SHARON RD SUITE 3
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City | BEAVER
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State | PA
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Zip | 15009-3147
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Country | US
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Telephone | 724-775-4099
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Fax | 724-775-3510
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Provider Business Mailing Address
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Address Line | 301 5TH AVE SUITE 100
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City | TARENTUM
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State | PA
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Zip | 15084-1861
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Country | US
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Telephone | 724-224-5440
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Fax | 724-904-7634
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | KUMAR PATEL
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Credential | M.D.
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Telephone | 724-224-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State | PA
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