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General NPI Number Information
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NPI Number | 1548271075
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Entity Type | Organization
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Legal Business Name | ALLERGY AND ASTHMA SPECIALTY CARE LLC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 35 W MAIN ST SUITE 103
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City | DENVILLE
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State | NJ
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Zip | 07834-2174
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Country | US
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Telephone | 973-902-4393
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Fax |
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Provider Business Mailing Address
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Address Line | 9 WOODBINE RD
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City | FLORHAM PARK
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State | NJ
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Zip | 07932-2649
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Country | US
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Telephone | 973-377-4122
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. SMRUTI A. PARIKH
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Credential | M.D.
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Telephone | 973-902-4393
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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 | 25MA07757400
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License Number State | NJ
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