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General NPI Number Information
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NPI Number | 1487812491
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Entity Type | Organization
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Legal Business Name | ADVANCED ALLERGY ASSOCIATES, INC.
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 02/28/2011
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Provider Practice Location Address
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Address Line | 8030 CROWDER BLVD
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City | NEW ORLEANS
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State | LA
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Zip | 70127-1063
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Country | US
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Telephone | 504-241-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 8030 CROWDER BLVD
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City | NEW ORLEANS
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State | LA
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Zip | 70127-1063
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Country | US
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Telephone | 504-241-2220
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHERYL HAYES WILLIAMS
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Credential | M.D.
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Telephone | 504-241-2220
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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 | 019973
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License Number State | LA
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