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General NPI Number Information
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NPI Number | 1215417191
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Entity Type | Organization
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Legal Business Name | ALLERGY, ASTHMA AND IMMUNOLOGY SPECIALISTS, LLC
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 7100 CAMINO REAL STE 121
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City | BOCA RATON
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State | FL
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Zip | 33433-5510
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Country | US
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Telephone | 561-289-6888
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Fax |
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Provider Business Mailing Address
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Address Line | 7050 W PALMETTO PARK RD STE 15-433
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City | BOCA RATON
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State | FL
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Zip | 33433-3426
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Country | US
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Telephone | 561-289-6888
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. AMY B SCHIFFMAN
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Credential | MD
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Telephone | 561-289-6888
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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 | ME132107
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License Number State | FL
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