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General NPI Number Information
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NPI Number | 1386448504
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Entity Type | Organization
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Legal Business Name | ALABAMA ASTHMA & ALLERGY CARE CENTER PC
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 4300 W MAIN ST STE 102
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City | DOTHAN
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State | AL
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Zip | 36305-1306
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Country | US
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Telephone | 334-793-9564
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Fax |
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Provider Business Mailing Address
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Address Line | 4300 W MAIN ST STE 102
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City | DOTHAN
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State | AL
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Zip | 36305-1306
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Country | US
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Telephone | 334-793-9564
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MARK HAGOP KALENIAN
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Credential | MD
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Telephone | 334-793-9564
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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 |
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License Number State |
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