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General NPI Number Information
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NPI Number | 1306885272
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA ASSOCIATES
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 127 ARK RD
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-6302
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Country | US
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Telephone | 856-778-4222
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Fax | 856-727-9595
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Provider Business Mailing Address
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Address Line | 127 ARK RD
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-6303
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Country | US
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Telephone | 856-778-4222
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Fax | 856-727-9595
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. STUART A KRAVITZ
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Credential | MD
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Telephone | 856-778-4222
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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 | 25MAO4041100
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License Number State | NJ
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