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General NPI Number Information
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NPI Number | 1538574082
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Entity Type | Organization
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Legal Business Name | ALLERGY AND IMMUNOLOGY ASSOCIATES OF NEW ENGLAND, LLC
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 06/24/2014
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Provider Practice Location Address
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Address Line | 269 LOCUST ST. SUITE 201
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City | FLORENCE
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State | MA
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Zip | 01062
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Country | US
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Telephone | 413-584-4010
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Fax | 413-582-0187
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Provider Business Mailing Address
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Address Line | 269 LOCUST ST. SUITE 201
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City | FLORENCE
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State | MA
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Zip | 01062
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Country | US
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Telephone | 413-584-4010
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Fax | 413-582-0187
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | JONATHAN L. BAYUK
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Credential | D.O.
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Telephone | 413-584-4010
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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 |
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License Number State |
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