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General NPI Number Information
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NPI Number | 1265083273
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Entity Type | Organization
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Legal Business Name | ALLERGY GROUP NJ LLC
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Dates
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Enumeration Date | 09/23/2019
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 717 N BEERS ST
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City | HOLMDEL
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State | NJ
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Zip | 07733-1524
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Country | US
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Telephone | 732-683-1071
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Fax | 732-683-1070
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Provider Business Mailing Address
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Address Line | 100 CRAIG RD
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City | MANALAPAN
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State | NJ
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Zip | 07726-8787
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Country | US
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Telephone | 732-683-1071
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Fax | 732-683-1070
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | KAREN SWEENEY
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Credential |
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Telephone | 732-683-1071
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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 |
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