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General NPI Number Information
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NPI Number | 1851338024
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Entity Type | Organization
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Legal Business Name | ALLERGY AND ASTHMA CENTER PC
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 2445 MARIETTA AVE ALLERGY & ASTHMA CENTER
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City | LANCASTER
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State | PA
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Zip | 17601-1942
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Country | US
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Telephone | 717-393-1365
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Fax | 717-393-8540
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Provider Business Mailing Address
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Address Line | 2445 MARIETTA AVE
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City | LANCASTER
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State | PA
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Zip | 17601-1942
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Country | US
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Telephone | 717-393-1365
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Fax | 717-393-8540
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | MARK J TITI
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Credential | MD
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Telephone | 717-393-1365
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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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