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General NPI Number Information
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NPI Number | 1497938278
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Entity Type | Organization
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Legal Business Name | WARWICK ALLERGY, P. C.
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 8 FORESTER AVE
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City | WARWICK
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State | NY
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Zip | 10990-1126
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Country | US
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Telephone | 845-986-5352
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Fax | 845-986-6341
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Provider Business Mailing Address
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Address Line | PO BOX 309
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City | WARWICK
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State | NY
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Zip | 10990
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Country | US
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Telephone | 845-986-5352
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Fax | 845-986-6341
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Authorized Official
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Title or Position | PRESIDENT
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Name | BETH G LOUIE
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Credential | MD
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Telephone | 845-986-6341
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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 | 131379
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License Number State | NY
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