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General NPI Number Information
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NPI Number | 1740300532
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Entity Type | Organization
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Legal Business Name | ALLERGY DIAGNOSTIC SYSTEMS INC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 24400 HIGHPOINT RD STE 1
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City | BEACHWOOD
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State | OH
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Zip | 44122-6027
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Country | US
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Telephone | 216-831-6577
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Fax | 216-831-6833
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Provider Business Mailing Address
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Address Line | 24400 HIGHPOINT RD STE 1
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City | BEACHWOOD
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State | OH
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Zip | 44122-6027
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Country | US
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Telephone | 216-831-6577
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Fax | 216-831-6833
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Authorized Official
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Title or Position | OFFICE MGR
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Name | PATRICE DELLIGATTI
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Credential |
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Telephone | 216-831-6577
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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 |
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License Number State |
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