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General NPI Number Information
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NPI Number | 1346425626
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 258 BROAD ST
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City | RED BANK
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State | NJ
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Zip | 07701-2035
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Country | US
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Telephone | 732-741-8900
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Fax | 732-741-8911
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Provider Business Mailing Address
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Address Line | 258 BROAD ST
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City | RED BANK
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State | NJ
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Zip | 07701-2035
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Country | US
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Telephone | 732-741-8900
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Fax | 732-741-8911
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW HIRSCH
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Credential | M.D.
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Telephone | 732-741-8900
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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 | 25MA05953700
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License Number State | NJ
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