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General NPI Number Information
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NPI Number | 1386732964
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Entity Type | Organization
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Legal Business Name | BURTON ALLYN M.D.,P.C.
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 833 BLOOMING GROVE TPKE
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City | NEW WINDSOR
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State | NY
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Zip | 12553-8102
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Country | US
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Telephone | 845-561-1100
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Fax | 845-561-0414
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Provider Business Mailing Address
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Address Line | 833 BLOOMING GROVE TPKE
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City | NEW WINDSOR
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State | NY
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Zip | 12553-8102
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Country | US
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Telephone | 845-561-1100
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Fax | 845-561-0414
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Authorized Official
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Title or Position | OWNER - PRESIDENT
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Name | DR. BURTON ALLYN
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Credential | M.D.
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Telephone | 845-561-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 081303
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License Number State | NY
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