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General NPI Number Information
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NPI Number | 1356678312
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Entity Type | Organization
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Legal Business Name | THE ALLERGIST LTD
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 910 E HIGH ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4850
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Country | US
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Telephone | 434-295-3620
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Fax | 434-293-3812
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Provider Business Mailing Address
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Address Line | 910 E HIGH ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4850
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Country | US
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Telephone | 434-295-3620
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Fax | 434-293-3812
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Authorized Official
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Title or Position | DIRECTOR/PHYSICIAN
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Name | DR. ALBERT L. HUBER
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Credential | M.D.
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Telephone | 434-295-3620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 0101020060
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License Number State | VA
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