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General NPI Number Information
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NPI Number | 1396035101
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Entity Type | Organization
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Legal Business Name | EAST ALABAMA ALLERGY AND ASTHMA, PLLC
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1925 E GLENN AVE STE 101
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City | AUBURN
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State | AL
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Zip | 36830-5729
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Country | US
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Telephone | 334-528-0078
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Fax | 334-528-0079
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Provider Business Mailing Address
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Address Line | 1925 E GLENN AVE STE 101
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City | AUBURN
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State | AL
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Zip | 36830-5729
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Country | US
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Telephone | 334-528-0078
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Fax | 334-528-0079
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN W. TOLE
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Credential | D.O.
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Telephone | 334-528-0078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | DO.1138
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License Number State | AL
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