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General NPI Number Information
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NPI Number | 1801053806
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Entity Type | Organization
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Legal Business Name | ALLERGY, ASTHMA, & IMMUNOLOGY SPECIALISTS, LTD.
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 10250 N 92ND ST SUITE 114
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4510
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Country | US
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Telephone | 480-661-6184
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Fax | 480-661-6971
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Provider Business Mailing Address
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Address Line | 10250 N 92ND ST SUITE 114
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-4510
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Country | US
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Telephone | 480-661-6184
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Fax | 480-661-6971
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Authorized Official
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Title or Position | PHYSICIAN AND OFFICE MANAGER
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Name | DR. LINDA ALVAREZ-THULL
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Credential | M.D.
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Telephone | 480-661-6184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 23830
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License Number State | AZ
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