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General NPI Number Information
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NPI Number | 1659234847
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Entity Type | Organization
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Legal Business Name | PENINSULA ALLERGY AND ASTHMA CENTER, LLC
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 44455 STERLING HWY
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City | SOLDOTNA
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State | AK
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Zip | 99669-7936
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Country | US
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Telephone | 907-262-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 44455 STERLING HWY
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City | SOLDOTNA
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State | AK
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Zip | 99669-7936
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Country | US
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Telephone | 907-262-2229
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Fax | 907-420-0902
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | KRISTINA JAMES
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Credential | MD
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Telephone | 907-262-2229
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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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