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General NPI Number Information
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NPI Number | 1699531319
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Entity Type | Organization
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Legal Business Name | WC ALLERGY SOLUTIONS
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Dates
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Enumeration Date | 02/21/2024
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 4633 N 24TH ST
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City | PHOENIX
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State | AZ
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Zip | 85016-5203
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Country | US
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Telephone | 602-821-4517
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Fax |
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Provider Business Mailing Address
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Address Line | 4633 N 24TH ST
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City | PHOENIX
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State | AZ
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Zip | 85016-5203
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Country | US
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Telephone | 602-821-4517
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Fax |
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Authorized Official
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Title or Position | CREDENTIALER
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Name | HEIDI HORNING
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Credential |
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Telephone | 707-299-7043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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