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General NPI Number Information
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NPI Number | 1376536540
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Entity Type | Organization
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Legal Business Name | 1ST ALLERGY ASTHMA AND PEDIATRICS TOO, INC.
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 9191 HURON ST
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City | DENVER
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State | CO
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Zip | 80260-6842
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Country | US
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Telephone | 303-225-0080
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Fax | 303-487-9103
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Provider Business Mailing Address
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Address Line | 9191 HURON ST
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City | DENVER
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State | CO
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Zip | 80260-6842
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Country | US
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Telephone | 303-225-0080
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Fax | 303-487-9103
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | ISAAC MELAMED
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Credential | MD
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Telephone | 303-773-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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