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General NPI Number Information
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NPI Number | 1821223348
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Entity Type | Organization
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Legal Business Name | REDDING ALLERGY AND ASTHMA CENTER, INC.
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 3193 HOWELL MILL RD NW SUITE 102
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City | ATLANTA
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State | GA
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Zip | 30327-2119
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Country | US
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Telephone | 404-355-0078
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Fax |
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Provider Business Mailing Address
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Address Line | 3193 HOWELL MILL RD NW SUITE 102
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City | ATLANTA
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State | GA
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Zip | 30327-2119
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Country | US
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Telephone | 404-355-0078
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ALAN RUSSELL REDDING
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Credential | M.D.
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Telephone | 404-355-0078
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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 | 61327
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License Number State | GA
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