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General NPI Number Information
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NPI Number | 1861650335
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Entity Type | Organization
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Legal Business Name | ALLERGY & ASTHMA CARE, INC
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 9149 ESTATE THOMAS PARAGON MEDICAL BUILDING SUITE 202
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City | ST THOMAS
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State | VI
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Zip | 00802-2615
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Country | US
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Telephone | 340-776-5507
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Fax | 340-776-7935
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Provider Business Mailing Address
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Address Line | P.O. BOX 595
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City | ST. THOMAS
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State | VIRGIN ISLANDS
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Zip | 00804
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Country | UM
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Telephone | 340-776-5507
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Fax | 340-776-7935
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Authorized Official
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Title or Position | PHYSICIAN
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Name | AUDRIA THOMAS
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Credential | M.D.
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Telephone | 340-776-5507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | VI717
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License Number State | VI
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