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General NPI Number Information
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NPI Number | 1457437063
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Entity Type | Organization
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Legal Business Name | BARRY O. MAISEL, MD
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 414 MAPLE AVE SUITE 600
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5550
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Country | US
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Telephone | 518-583-1553
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Fax |
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Provider Business Mailing Address
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Address Line | 414 MAPLE AVE SUITE 600
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5550
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Country | US
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Telephone | 518-583-1553
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRY O MAISEL
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Credential | MD
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Telephone | 518-583-1553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 149025
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License Number State | NY
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