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General NPI Number Information
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NPI Number | 1164523122
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA ASSOCIATES OF SOUTHERN CALIF INC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 28202 CABOT RD STE 105
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1247
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Country | US
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Telephone | 949-364-2900
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Fax | 949-365-0117
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Provider Business Mailing Address
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Address Line | 28202 CABOT RD STE 105
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1247
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Country | US
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Telephone | 949-364-2900
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Fax | 949-365-0117
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DANA SIMS
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Credential |
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Telephone | 949-364-2900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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