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General NPI Number Information
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NPI Number | 1144773201
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Entity Type | Organization
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Legal Business Name | ASTHMA & ALLERGY ASSOCIATES, PC
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 05/22/2017
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Provider Practice Location Address
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Address Line | 517 COLORADO AVE
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City | PUEBLO
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State | CO
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Zip | 81004-2075
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Country | US
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Telephone | 719-473-0872
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Fax |
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Provider Business Mailing Address
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Address Line | 2709 N TEJON ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6231
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Country | US
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Telephone | 719-473-0872
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MR. PAUL BYER
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Credential |
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Telephone | 719-473-0872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number |
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License Number State |
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