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General NPI Number Information
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NPI Number | 1992780316
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Entity Type | Individual
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Provider Name | EMERALD M THAW MD
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Gender | Female
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Dates
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Enumeration Date | 12/08/2005
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 5908 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-4071
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Country | US
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Telephone | 718-439-8488
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Fax | 718-492-9643
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Provider Business Mailing Address
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Address Line | 30 RIDINGS PKWY
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City | PRINCETON
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State | NJ
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Zip | 08540-8639
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Country | US
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Telephone | 908-431-5868
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Fax | 908-431-5868
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 182819
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | MA53549
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License Number State | NJ
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