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General NPI Number Information
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NPI Number | 1770736431
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA CENTER OF BLUEFIELD, PC
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 1240 HOCKMAN PIKE
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City | BLUEFIELD
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State | VA
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Zip | 24605-9351
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Country | US
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Telephone | 276-322-2278
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Fax | 276-322-3650
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Provider Business Mailing Address
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Address Line | 1240 HOCKMAN PIKE
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City | BLUEFIELD
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State | VA
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Zip | 24605
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Country | US
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Telephone | 276-322-2278
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Fax | 276-322-3650
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD W ASBURY
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Credential | M.D.
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Telephone | 276-322-2278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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