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General NPI Number Information
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NPI Number | 1760506950
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA INC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 801 TOLL HOUSE AVE BLDG E
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City | FREDERICK
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State | MD
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Zip | 21701-4564
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Country | US
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Telephone | 301-694-4935
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Fax |
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Provider Business Mailing Address
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Address Line | 801 TOLL HOUSE AVE BLDG E
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City | FREDERICK
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State | MD
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Zip | 21701-4564
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Country | US
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Telephone | 301-694-4935
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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. HIDAYAT KHAN
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Credential | M.D.
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Telephone | 301-694-4935
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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 | D0023240
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License Number State | MD
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