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General NPI Number Information
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NPI Number | 1558593269
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Entity Type | Organization
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Legal Business Name | ALL-AMERICAN ALLERGY ALTERNATIVES
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 08/10/2016
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Provider Practice Location Address
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Address Line | 842 N WESTHILL BLVD
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City | APPLETON
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State | WI
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Zip | 54914-5788
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Country | US
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Telephone | 877-667-4689
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Fax | 877-626-2702
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Provider Business Mailing Address
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Address Line | 1861 RED OAK DR
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City | PLOVER
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State | WI
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Zip | 54467-3049
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Country | US
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Telephone | 877-667-4689
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Fax | 877-626-2702
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Authorized Official
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Title or Position | PRESIDENT
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Name | TODD MEYER
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Credential |
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Telephone | 877-667-4689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | 8856-42
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License Number State | WI
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