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General NPI Number Information
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NPI Number | 1912089335
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Entity Type | Organization
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Legal Business Name | ASTHMA & ALLERGY CENTER LLC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 14995 SHADY GROVE RD STE 100
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City | ROCKVILLE
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State | MD
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Zip | 20850-8733
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Country | US
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Telephone | 410-772-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 LEGACY DR STE 200
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City | FRISCO
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State | TX
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Zip | 75034-1844
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF OF STAFF
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Name | TAYLOR KNUTSON
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Credential |
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Telephone | 361-244-3468
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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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