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General NPI Number Information
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NPI Number | 1093962383
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Entity Type | Organization
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Legal Business Name | ALLERGY AND ASTHMA CARE OF BLAKENEY, PLLC
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 8840 BLAKENEY PROFESSIONAL DRIVE SUITE 201
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City | CHARLOTTE
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State | NC
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Zip | 28277-6807
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Country | US
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Telephone | 704-752-3773
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Fax | 704-369-8788
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Provider Business Mailing Address
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Address Line | 8840 BLAKENEY PROFESSIONAL DRIVE SUITE 201
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City | CHARLOTTE
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State | NC
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Zip | 28277-6807
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Country | US
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Telephone | 704-752-3773
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Fax | 704-369-8788
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | STEVEN JOSEPH MCELDOWNEY
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Credential | MD
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Telephone | 704-752-3773
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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 |
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 2008-00897
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License Number State | NC
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