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General NPI Number Information
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NPI Number | 1730290099
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Entity Type | Organization
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Legal Business Name | FAAC, PA
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 3051 CHURCHILL DR STE 130
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2710
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Country | US
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Telephone | 972-539-0086
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Fax | 972-355-9680
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Provider Business Mailing Address
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Address Line | 3051 CHURCHILL DR STE 130
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2710
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Country | US
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Telephone | 972-539-0086
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Fax | 972-355-9680
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Authorized Official
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Title or Position | SPECIALTY INSURANCE MANAGER
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Name | TAMMY SHEREN
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Credential |
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Telephone | 972-539-0086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | H4184
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License Number State | TX
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