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General NPI Number Information
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NPI Number | 1235175613
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Entity Type | Organization
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Legal Business Name | BUX-MONT ALLERGY & ASTHMA LLC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 620 W CHESTNUT ST STE 201
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City | PERKASIE
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State | PA
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Zip | 18944-1307
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Country | US
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Telephone | 215-257-0000
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Fax | 215-453-8223
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Provider Business Mailing Address
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Address Line | 711 LAWN AVE STE 6
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City | SELLERSVILLE
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State | PA
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Zip | 18960-1508
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Country | US
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Telephone | 215-257-5000
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Fax | 215-453-8223
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Authorized Official
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Title or Position | PRESIDENT
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Name | WARDEN HWAN
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Credential | M.D.
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Telephone | 215-257-5000
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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 | MD072638L
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License Number State | PA
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