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General NPI Number Information
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NPI Number | 1619099710
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Entity Type | Organization
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Legal Business Name | VALLEY ALLERGY&ASTHMA CENTER PLLC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/12/2015
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Provider Practice Location Address
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Address Line | 2108 S M ST STE1
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City | MCALLEN
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State | TX
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Zip | 78503-1555
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Country | US
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Telephone | 956-686-4824
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Fax | 956-683-1014
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Provider Business Mailing Address
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Address Line | 2108 S M ST STE1
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City | MCALLEN
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State | TX
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Zip | 78503-1555
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Country | US
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Telephone | 956-686-4824
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Fax | 956-683-1014
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Authorized Official
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Title or Position | MANAGING OFFICER
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Name | DR. MARIA A MACIAS
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Credential | MD
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Telephone | 956-686-4824
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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 | L4546
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License Number State | TX
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