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General NPI Number Information
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NPI Number | 1790666584
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Entity Type | Organization
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Legal Business Name | VALLEY ASTHMA & ALLERGY LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 1021 MOUNT DECHANTAL ROAD SUITE 100
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City | WHEELING
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State | WV
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Zip | 26003-9454
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Country | US
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Telephone | 304-234-8912
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Fax | 304-234-8218
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Provider Business Mailing Address
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Address Line | 1021 MOUNT DECHANTAL ROAD SUITE 100
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City | WHEELING
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State | WV
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Zip | 26003-9454
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Country | US
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Telephone | 304-234-8912
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Fax | 304-234-8218
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Authorized Official
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Title or Position | NP
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Name | ABIGAIL E CRUMMITT
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Credential | FNP-BC
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Telephone | 304-488-6813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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