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General NPI Number Information
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NPI Number | 1730151721
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Entity Type | Organization
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Legal Business Name | THE ASTHMA & ALLERGY CENTER PC
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 3503 SAMSON WAY SUITE 108
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City | BELLEVUE
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State | NE
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Zip | 68123-4303
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Country | US
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Telephone | 402-592-2055
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Fax | 402-592-2419
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Provider Business Mailing Address
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Address Line | 3503 SAMSON WAY SUITE 108
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City | BELLEVUE
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State | NE
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Zip | 68123-4303
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Country | US
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Telephone | 402-592-2055
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Fax | 402-592-2419
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. LINDA B. FORD
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Credential | M.D.
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Telephone | 402-592-2055
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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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