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General NPI Number Information
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NPI Number | 1225435670
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Entity Type | Organization
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Legal Business Name | ALLERGY COMPREHENSIVE EXPRESS PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/01/2014
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Last Update Date | 12/01/2014
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Provider Practice Location Address
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Address Line | 264 TRAPPE LN
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City | LANGHORNE
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State | PA
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Zip | 19047-1434
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Country | US
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Telephone | 215-962-0228
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Fax |
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Provider Business Mailing Address
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Address Line | 264 TRAPPE LN
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City | LANGHORNE
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State | PA
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Zip | 19047-1434
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Country | US
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Telephone | 215-962-0228
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAUL M KOSMORSKY
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Credential | D.O
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Telephone | 215-962-0228
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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 | 0S007133L
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License Number State | PA
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