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General NPI Number Information
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NPI Number | 1740347202
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Entity Type | Individual
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Provider Name | MORTON MAX TEICH M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 930 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10028-0209
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Country | US
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Telephone | 212-988-1821
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Fax | 212-288-9289
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Provider Business Mailing Address
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Address Line | 930 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10028-0209
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Country | US
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Telephone | 212-988-1821
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Fax | 212-288-9289
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 97807
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | 97807
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License Number State | NY
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