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General NPI Number Information
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NPI Number | 1407805468
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Entity Type | Organization
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Legal Business Name | ALLERGY CARE CENTER
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2100 N GREEN ACRES RD SUITE A
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2807
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Country | US
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Telephone | 479-521-3363
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Fax | 479-521-4167
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Provider Business Mailing Address
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Address Line | 2100 N GREEN ACRES RD SUITE A
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2807
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Country | US
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Telephone | 479-521-3363
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Fax | 479-521-4167
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. MARTHA ANN HUTSON-FINCHER
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Credential | M.D.
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Telephone | 479-521-3363
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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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