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General NPI Number Information
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NPI Number | 1578625190
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Entity Type | Organization
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Legal Business Name | ALLERGY & ENT ASSOCIATES PLLC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 10801-2 NORTH MOPAC EXPWY STE 150
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City | AUSTIN
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State | TX
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Zip | 78759-5973
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Country | US
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Telephone | 512-346-7936
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Fax | 512-388-4450
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Provider Business Mailing Address
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Address Line | 10801-2 NORTH MOPAC EXPWY STE 150
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City | AUSTIN
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State | TX
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Zip | 78759-5973
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Country | US
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Telephone | 512-346-7936
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Fax | 512-388-4450
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | ANISA WATROUS
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Credential |
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Telephone | 559-436-4500
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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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