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General NPI Number Information
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NPI Number | 1114937620
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Entity Type | Organization
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Legal Business Name | ASTHMA & ALLERGY CENTER OF THE NORTHERN SHENANDOAH VALLEY, INC.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 1828 W PLAZA DR
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City | WINCHESTER
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State | VA
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Zip | 22601-6365
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Country | US
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Telephone | 540-662-9115
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Fax | 540-665-0411
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Provider Business Mailing Address
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Address Line | 1828 W PLAZA DR
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City | WINCHESTER
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State | VA
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Zip | 22601-6365
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Country | US
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Telephone | 540-662-9115
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Fax | 540-665-0411
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT CLARKSON MCQUEEN
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Credential | M.D.
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Telephone | 540-662-9115
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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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