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General NPI Number Information
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NPI Number | 1821147687
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Entity Type | Organization
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Legal Business Name | ALLERGY & IMMUNOLOGY ON MADISON 069478
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 161 MADISON AVE SUITE 3A
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City | NY
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State | NY
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Zip | 10016
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Country | US
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Telephone | 646-424-0400
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Fax | 646-742-0092
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Provider Business Mailing Address
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Address Line | PO BOX 1969 MURRAY HILL STATION
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City | NY
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State | NY
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Zip | 10561
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Country | US
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Telephone | 646-424-0400
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Fax | 646-742-0092
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Authorized Official
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Title or Position | PRACTICE MGR
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Name | MS. ANNE SCALOGNA
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Credential |
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Telephone | 646-424-0400
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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 |
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License Number State |
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