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General NPI Number Information
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NPI Number | 1487960639
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Entity Type | Organization
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Legal Business Name | SPECIALTY PHYSICIAN ASSOCIATES, LLC
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 3445 HIGH POINT BLVD., SUITE 400
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City | BETHLEHEM
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State | PA
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Zip | 18017-7817
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Country | US
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Telephone | 610-866-5555
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Fax | 610-866-3151
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Provider Business Mailing Address
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Address Line | 3445 HIGH POINT BLVD. SUITE 400
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City | BETHLEHEM
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State | PA
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Zip | 18017-7817
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Country | US
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Telephone | 610-866-5555
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Fax | 610-866-3151
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DAVID M YEN
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Credential | M.D.
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Telephone | 610-866-5555
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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