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General NPI Number Information
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NPI Number | 1902893936
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Entity Type | Individual
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Provider Name | ALLISON J BEITLER MD
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Gender | Female
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 12/12/2022
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Provider Practice Location Address
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Address Line | 685 WHITE PLAINS RD
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City | EASTCHESTER
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State | NY
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Zip | 10709-5545
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Country | US
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Telephone | 914-787-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 630 W 168TH ST # 4
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City | NEW YORK
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State | NY
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Zip | 10032-3725
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Country | US
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Telephone | 212-305-4308
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Fax | 212-304-6610
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 194665
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 194665
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License Number State | NY
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