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General NPI Number Information
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NPI Number | 1730587486
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Entity Type | Organization
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Legal Business Name | ABS MEDICINE LLC
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Dates
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Enumeration Date | 12/11/2014
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Last Update Date | 02/25/2015
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Provider Practice Location Address
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Address Line | 704 S BROAD ST
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City | LANSDALE
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State | PA
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Zip | 19446-5242
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Country | US
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Telephone | 267-416-0212
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Fax |
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Provider Business Mailing Address
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Address Line | 704 S BROAD ST
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City | LANSDALE
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State | PA
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Zip | 19446-5242
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Country | US
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Telephone | 267-416-0212
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALYSON BETH SIMPSON
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Credential | MD
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Telephone | 856-341-3902
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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 | MD430551
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License Number State | PA
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