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General NPI Number Information
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NPI Number | 1700843380
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Entity Type | Organization
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Legal Business Name | ALL ALLERGY ASTHMA & IMMUNOLOGY CLINIC PA
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 10216 GARLAND RD
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City | DALLAS
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State | TX
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Zip | 75218-2921
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Country | US
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Telephone | 214-328-3232
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 180907
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City | DALLAS
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State | TX
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Zip | 75218-0907
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Country | US
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Telephone | 214-328-3232
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SONAK B DAULAT
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Credential | M.D.
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Telephone | 214-328-3232
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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 | K5501
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License Number State | TX
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