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General NPI Number Information
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NPI Number | 1649274077
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Entity Type | Organization
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Legal Business Name | SUGAR LAND ALLERGY, ASTHMA & IMMUNOLOGY CENTER, PA
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 4820 SWEETWATER BLVD
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City | SUGAR LAND
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State | TX
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Zip | 77479-3153
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Country | US
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Telephone | 281-494-4600
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Fax | 281-494-4605
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Provider Business Mailing Address
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Address Line | 4820 SWEETWATER BLVD
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City | SUGAR LAND
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State | TX
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Zip | 77479-3153
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Country | US
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Telephone | 281-494-4600
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Fax | 281-494-4605
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID AMRAN
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Credential | M.D.
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Telephone | 281-494-4600
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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 | K2179
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License Number State | TX
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