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General NPI Number Information
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NPI Number | 1013605237
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Entity Type | Organization
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Legal Business Name | ASTHMA & ALLERGY ASSOCIATES OF FL PA
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 975 ARTHUR GODFREY RD STE 101
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3340
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Country | US
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Telephone | 305-868-1700
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Fax | 305-864-3992
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Provider Business Mailing Address
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Address Line | 7800 SW 87TH AVE STE C340
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City | MIAMI
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State | FL
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Zip | 33173-3570
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Country | US
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Telephone | 305-595-0109
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Fax |
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Authorized Official
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Title or Position | PROVIDER ENROLLMENT SPECIALIST
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Name | PATRICIA MONTES
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Credential |
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Telephone | 305-595-0109
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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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