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General NPI Number Information
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NPI Number | 1326009614
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Entity Type | Individual
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Provider Name | WILLIAM ALLEN NEAVILLE MD
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 10 MEDICAL PKWY STE 204
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City | DALLAS
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State | TX
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Zip | 75234
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Country | US
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Telephone | 972-661-9197
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Fax | 972-239-5526
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Provider Business Mailing Address
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Address Line | 10 MEDICAL PKWY STE 204
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City | DALLAS
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State | TX
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Zip | 75234-7845
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Country | US
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Telephone | 972-661-9197
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Fax | 972-239-5526
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | L6541
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | L6541
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License Number State | TX
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