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General NPI Number Information
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NPI Number | 1578628889
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Entity Type | Organization
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Legal Business Name | ASTHMA & ALLERGY SOLUTIONS, INC.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 858 S WHITE HORSE PIKE SUITE 6
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City | HAMMONTON
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State | NJ
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Zip | 08037-2031
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Country | US
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Telephone | 609-567-6520
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Fax | 609-567-6524
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Provider Business Mailing Address
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Address Line | 858 S WHITE HORSE PIKE SUITE 6
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City | HAMMONTON
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State | NJ
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Zip | 08037-2031
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Country | US
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Telephone | 609-567-6520
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Fax | 609-567-6524
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Authorized Official
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Title or Position | PRESIDENT & CLINICAL DIRECTOR
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Name | MS. NANCY L BANER
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Credential | MD
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Telephone | 609-567-6520
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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 | 25MA02774400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 00006367
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License Number State | NJ
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