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General NPI Number Information
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NPI Number | 1669664025
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Entity Type | Organization
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Legal Business Name | ASTHMA & ALLERGY CARE, PC
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 496 E MAIN ST
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City | DENVILLE
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State | NJ
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Zip | 07834-2516
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Country | US
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Telephone | 973-627-1000
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Fax | 973-627-0443
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Provider Business Mailing Address
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Address Line | 496 E MAIN ST
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City | DENVILLE
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State | NJ
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Zip | 07880-0496
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Country | US
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Telephone | 973-627-1000
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Fax | 973-627-0443
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SUNITA KANUMURY
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Credential | M.D.
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Telephone | 973-627-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA056665
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License Number State | NJ
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