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General NPI Number Information
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NPI Number | 1447718176
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Entity Type | Organization
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Legal Business Name | A&L ALLERGY COMPANY LLC
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 7815 CORAL WAY STE 105A
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City | MIAMI
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State | FL
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Zip | 33155-6541
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Country | US
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Telephone | 786-631-3890
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 W 60TH PL APT 105
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City | HIALEAH
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State | FL
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Zip | 33016-5954
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Country | US
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Telephone | 786-556-6769
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. LESTER MIGUEL PEREZ SANCHEZ
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Credential |
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Telephone | 786-556-6769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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