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General NPI Number Information
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NPI Number | 1902065220
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Entity Type | Organization
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Legal Business Name | ALLERGY ASSOCIATES OF ORANGE COUNTY, INC.
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Dates
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Enumeration Date | 06/02/2008
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 19871 YORBA LINDA BLVD SUITE 104
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City | YORBA LINDA
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State | CA
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Zip | 92886-2811
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Country | US
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Telephone | 714-777-8845
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Fax | 714-777-8856
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Provider Business Mailing Address
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Address Line | 14 INGLESIDE
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City | IRVINE
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State | CA
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Zip | 92620-2890
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Country | US
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Telephone | 714-310-7781
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAE YOUNG AARON SONG
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Credential | M.D.
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Telephone | 714-310-7781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A68359
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License Number State | CA
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