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General NPI Number Information
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NPI Number | 1962643288
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Entity Type | Organization
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Legal Business Name | 1ST ALLERGY ASTHMA AND PEDIATRICS TOO
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 12/30/2010
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Provider Practice Location Address
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Address Line | 3260 E 104TH AVE
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City | THORNTON
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State | CO
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Zip | 80233-4406
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Country | US
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Telephone | 720-929-8300
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Fax | 720-929-8444
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Provider Business Mailing Address
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Address Line | 8601 S. YOSEMITE ST
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City | CENTENNIAL
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State | CO
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Zip | 80112-1406
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Country | US
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Telephone | 303-773-9000
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Fax | 720-488-4149
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. ERIN COLLEEN HELMS
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Credential |
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Telephone | 303-224-4717
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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 | 32130
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License Number State | CO
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