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General NPI Number Information
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NPI Number | 1639638513
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Entity Type | Organization
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Legal Business Name | ALLERGY AND ASTHMA WELLNESS CENTERS INC
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 200 RENAISSANCE DR STE 105
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City | BUTLER
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State | PA
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Zip | 16001-7612
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Country | US
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Telephone | 724-256-8514
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Fax | 724-256-9609
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Provider Business Mailing Address
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Address Line | 200 RENAISSANCE DR STE 103
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City | BUTLER
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State | PA
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Zip | 16001-7612
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Country | US
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Telephone | 724-256-8514
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Fax | 724-256-9609
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | JAYME JOHNSTON
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Credential |
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Telephone | 434-849-1976
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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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