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General NPI Number Information
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NPI Number | 1992043483
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Entity Type | Organization
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Legal Business Name | ALLERGY AND ASTHMA CONSULTANTS OF FAIRFIELD COUNTY, LLC
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 140 SHERMAN ST FL 3
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City | FAIRFIELD
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State | CT
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Zip | 06824-5849
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Country | US
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Telephone | 203-955-1461
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Fax | 203-955-1464
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Provider Business Mailing Address
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Address Line | 140 SHERMAN ST FL 3
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City | FAIRFIELD
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State | CT
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Zip | 06824-5849
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Country | US
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Telephone | 203-955-1461
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Fax | 203-955-1464
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Authorized Official
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Title or Position | PHYSICIAN SOLE MEMBER
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Name | DR. AIMEE ALTSCHUL-LATZMAN
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Credential | M.D.
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Telephone | 646-872-6795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State | CT
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