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General NPI Number Information
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NPI Number | 1023170461
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Entity Type | Organization
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Legal Business Name | ALABAMA ASTHMA & ALLERGY, PC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 2826 ROSS CLARK CIR STE 304
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City | DOTHAN
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State | AL
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Zip | 36301-2017
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Country | US
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Telephone | 334-794-2718
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Fax | 334-671-1905
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Provider Business Mailing Address
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Address Line | 2826 ROSS CLARK CIR STE 304
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City | DOTHAN
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State | AL
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Zip | 36301-2017
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Country | US
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Telephone | 334-794-2718
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Fax | 334-671-1905
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Authorized Official
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Title or Position | VP RCM
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Name | SAMUEL ALTMAN
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Credential | M.D.
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Telephone | 469-209-8355
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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 | 16176
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License Number State | AL
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