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General NPI Number Information
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NPI Number | 1821375551
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Entity Type | Organization
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Legal Business Name | BEACON HEALTH-ALLERGY, LLC
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Dates
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Enumeration Date | 11/09/2011
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 800 TOWN AND COUNTRY BLVD SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77024-4552
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Country | US
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Telephone | 210-365-0975
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Fax |
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Provider Business Mailing Address
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Address Line | 800 TOWN AND COUNTRY BLVD SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77024-4552
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Country | US
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Telephone | 210-365-0975
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RON BARSHOP
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Credential |
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Telephone | 210-365-0975
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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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