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General NPI Number Information
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NPI Number | 1942481890
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Entity Type | Organization
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Legal Business Name | ALLERGY AND ASTHMA CARE OF THE CHESAPEAKE PA
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 06/24/2011
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Provider Practice Location Address
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Address Line | 227 N LIBERTY ST
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City | CENTREVILLE
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State | MD
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Zip | 21617-1022
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Country | US
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Telephone | 410-758-6700
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Fax | 410-758-1982
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Provider Business Mailing Address
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Address Line | 227 N LIBERTY ST
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City | CENTREVILLE
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State | MD
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Zip | 21617-1022
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Country | US
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Telephone | 410-758-6700
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Fax | 410-758-1982
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. NANCI RACHEL HOWLAND
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Credential | M.D.
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Telephone | 410-758-6700
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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 | D47912
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License Number State | MD
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