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General NPI Number Information
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NPI Number | 1366407140
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Entity Type | Organization
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Legal Business Name | ALLERGY ASTHMA RHEUMATOLOGY ASSOC
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5793 WIDEWATERS PKWY STE 250
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City | SYRACUSE
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State | NY
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Zip | 13214-1887
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Country | US
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Telephone | 315-478-2339
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Fax | 315-478-0439
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Provider Business Mailing Address
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Address Line | 5793 WIDEWATERS PKWY STE 250
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City | SYRACUSE
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State | NY
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Zip | 13214-1887
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Country | US
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Telephone | 315-478-2339
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Fax | 315-478-0439
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Authorized Official
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Title or Position | PARTNER
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Name | MICHAEL SHEEHAN
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Credential |
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Telephone | 315-478-2339
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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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