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General NPI Number Information
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NPI Number | 1437208840
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Entity Type | Organization
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Legal Business Name | ALLERGY ASTHMA & IMMUNOLOGY CENTER OF SOUTHWEST LOUISIANA
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 320 SETTLERS TRACE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70508
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Country | US
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Telephone | 337-981-9495
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Fax | 337-981-7451
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Provider Business Mailing Address
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Address Line | 320 SETTLERS TRACE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70508-6060
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Country | US
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Telephone | 337-981-9495
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Fax | 337-981-7451
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CINDY WILKINSON
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Credential |
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Telephone | 337-981-9495
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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 |
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License Number State |
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