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General NPI Number Information
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NPI Number | 1144712860
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Entity Type | Organization
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Legal Business Name | DAHER ASTHMA AND ALLERGY CLINIC, PLLC
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 2136 EXETER RD STE 103
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City | GERMANTOWN
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State | TN
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Zip | 38138
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Country | US
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Telephone | 901-203-6055
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Fax | 901-203-6056
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Provider Business Mailing Address
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Address Line | 2136 EXETER RD STE 103
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City | GERMANTOWN
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State | TN
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Zip | 38138-3935
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NORA DAHER
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Credential | M.D.
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Telephone | 901-203-6055
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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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