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General NPI Number Information
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NPI Number | 1336851054
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Entity Type | Organization
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Legal Business Name | MONARCH ALLERGY MEDICAL SERVICES OF FLORIDA PA
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 30 COOPER SQ FL 10
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City | NEW YORK
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State | NY
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Zip | 10003-7120
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Country | US
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Telephone | 509-638-9401
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Fax |
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Provider Business Mailing Address
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Address Line | 30 COOPER SQ FL 10
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City | NEW YORK
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State | NY
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Zip | 10003-7120
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Country | US
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Telephone | 859-248-1766
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SHYAM JOSHI
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Credential | MD
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Telephone | 859-248-1766
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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 |
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License Number State |
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