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General NPI Number Information
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NPI Number | 1861585572
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Entity Type | Organization
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Legal Business Name | ALLERGY CENTER, P.A.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 2211 MIDWESTERN PKWY SUITE 2
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City | WICHITA FALLS
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State | TX
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Zip | 76308-2300
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Country | US
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Telephone | 940-696-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 MIDWESTERN PKWY SUITE 2
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City | WICHITA FALLS
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State | TX
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Zip | 76308-2300
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Country | US
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Telephone | 940-696-2323
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. MCMURRY FITZSIMMONS
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Credential | M.D.
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Telephone | 940-696-2323
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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 | F2658
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License Number State | TX
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