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General NPI Number Information
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NPI Number | 1235280793
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Entity Type | Organization
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Legal Business Name | ALLAN R AU MD INC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 9727 ELK GROVE FLORIN RD SUITE 180
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City | ELK GROVE
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State | CA
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Zip | 95624-2264
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Country | US
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Telephone | 916-686-8170
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Fax | 916-685-8195
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Provider Business Mailing Address
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Address Line | 9727 ELK GROVE FLORIN RD SUITE 180
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City | ELK GROVE
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State | CA
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Zip | 95624-2264
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Country | US
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Telephone | 916-686-8170
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Fax | 916-685-8195
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALLAN RICHARD AU
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Credential | M. D.
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Telephone | 916-686-8170
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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 | G76867
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License Number State | CA
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