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General NPI Number Information
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NPI Number | 1619032471
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA GROUP LLC
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 717 N BEERS ST SUITE 2A
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City | HOLMDEL
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State | NJ
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Zip | 07733-1524
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Country | US
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Telephone | 732-739-0660
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Fax | 732-739-1406
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Provider Business Mailing Address
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Address Line | 100 CRAIG RD STE 204
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City | MANALAPAN
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State | NJ
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Zip | 07726-8787
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Country | US
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Telephone | 732-683-1071
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Fax | 732-683-1070
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Authorized Official
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Title or Position | PARTNER
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Name | LINDEN D HO
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Credential | MD
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Telephone | 732-683-1071
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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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