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General NPI Number Information
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NPI Number | 1770298655
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA CLINIC
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 10008 BELLAIRE BLVD STE 101
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City | HOUSTON
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State | TX
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Zip | 77072-5259
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Country | US
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Telephone | 346-530-0428
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Fax |
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Provider Business Mailing Address
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Address Line | 5706 N BRAESWOOD BLVD
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City | HOUSTON
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State | TX
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Zip | 77096-2902
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Country | US
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Telephone | 713-725-9794
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DAT QUOC TRAN
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Credential | MD
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Telephone | 346-775-5751
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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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