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General NPI Number Information
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NPI Number | 1326022880
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Entity Type | Organization
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Legal Business Name | ALLERGY AND ASTHMA SPECIALISTS, LTD.
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 1704 SIR WILLIAM OSLER DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3003
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Country | US
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Telephone | 757-481-4383
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Fax | 757-481-4611
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Provider Business Mailing Address
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Address Line | 1704 SIR WILLIAM OSLER DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-3003
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Country | US
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Telephone | 757-481-4383
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Fax | 757-481-4611
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. MARIANNE S PERRY
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Credential |
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Telephone | 757-481-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | VA
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