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General NPI Number Information
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NPI Number | 1295030682
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA CENTER OF STAMFORD
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Dates
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Enumeration Date | 01/17/2011
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Last Update Date | 04/30/2017
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Provider Practice Location Address
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Address Line | 1275 SUMMER ST SUITE A2
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City | STAMFORD
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State | CT
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Zip | 06905-5359
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Country | US
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Telephone | 203-978-0072
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 SUMMER ST SUITE A2
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City | STAMFORD
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State | CT
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Zip | 06905-5359
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | PAUL LINDNER
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Credential | MD
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Telephone | 203-978-0072
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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 | 029630
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License Number State | CT
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