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General NPI Number Information
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NPI Number | 1184789653
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Entity Type | Organization
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Legal Business Name | FAMILY ALLERGY & ASTHMA CENTER PA
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 56 E PRICE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3508
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Country | US
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Telephone | 956-548-2020
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Fax | 956-548-2025
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Provider Business Mailing Address
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Address Line | 56 E PRICE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3508
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Country | US
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Telephone | 956-548-2020
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Fax | 956-548-2025
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAHID A BANGASH
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Credential | MD
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Telephone | 956-548-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P6696
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | K3076
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License Number State | TX
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