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General NPI Number Information
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NPI Number | 1659492684
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Entity Type | Organization
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Legal Business Name | RANDY S STOLOFF MD ADULT & PEDIATRIC ASTHMA & ALLERY PLLC
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 106 WEST BAY PLAZA
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City | PLATTSBURGH
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State | NY
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Zip | 12901
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Country | US
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Telephone | 518-561-3377
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Fax | 518-563-7433
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Provider Business Mailing Address
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Address Line | 106 WEST BAY PLAZA
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City | PLATTSBURGH
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State | NY
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Zip | 12901
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Country | US
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Telephone | 518-561-3377
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Fax | 518-563-7433
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | RANDY S STOLOFF
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Credential | MD
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Telephone | 518-561-3377
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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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