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General NPI Number Information
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NPI Number | 1447456090
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Entity Type | Organization
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Legal Business Name | ALLERGY MEDICAL ASSOCIATES OF NORTH SHORE INC.
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 214 OCEAN ST
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City | LYNN
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State | MA
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Zip | 01902-3150
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Country | US
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Telephone | 781-595-6800
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Fax | 781-599-7060
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Provider Business Mailing Address
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Address Line | 214 OCEAN ST
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City | LYNN
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State | MA
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Zip | 01902-3150
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Country | US
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Telephone | 781-595-6800
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Fax | 781-599-7060
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Authorized Official
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Title or Position | OWNER
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Name | NIRANJAN DUDANI
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Credential | M.D.
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Telephone | 781-595-6800
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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 | 36270
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License Number State | MA
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