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General NPI Number Information
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NPI Number | 1811299464
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Entity Type | Organization
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Legal Business Name | ALAN P. MUTO, D.O.,LLC
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Dates
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Enumeration Date | 12/01/2010
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 1425 W LINDEN ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-5048
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Country | US
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Telephone | 610-434-7343
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Fax | 610-434-7484
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Provider Business Mailing Address
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Address Line | 1425 W LINDEN ST
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City | ALLENTOWN
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State | PA
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Zip | 18102-5048
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Country | US
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Telephone | 610-434-7343
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Fax | 610-434-7484
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALAN P MUTO
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Credential | D.O.
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Telephone | 610-434-7343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS005099L
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License Number State | PA
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