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General NPI Number Information
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NPI Number | 1104981315
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Entity Type | Organization
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Legal Business Name | ALAMO ASTHMA & ALLERGY ASSOCIATES, P.A.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 104 GALLERY CIR SUITE 126
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3329
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Country | US
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Telephone | 210-499-0033
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Fax | 210-404-0926
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Provider Business Mailing Address
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Address Line | PO BOX 156
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City | SAN ANTONIO
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State | TX
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Zip | 78291-0156
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Country | US
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Telephone | 210-499-0033
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Fax | 210-404-0926
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. MICHAEL P VAUGHN
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Credential | M.D., PHD.
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Telephone | 210-499-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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