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General NPI Number Information
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NPI Number | 1073534061
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Entity Type | Organization
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Legal Business Name | CALLOWAY ENT, ASTHMA & ALLERGY, PSC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 300 S 8TH ST SUITE 507E
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City | MURRAY
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State | KY
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Zip | 42071-2400
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Country | US
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Telephone | 336-261-5674
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1477
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City | MURRAY
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State | KY
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Zip | 42071-0026
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Country | US
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Telephone | 336-261-5674
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAMUEL EDWARD SPREHE
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Credential | M.D
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Telephone | 336-261-5674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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