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General NPI Number Information
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NPI Number | 1992001473
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Entity Type | Organization
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Legal Business Name | ALLERGY, ASTHMA & SINUS ASSOCIATES, P.A.
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 09/10/2012
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Provider Practice Location Address
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Address Line | 2510 E OAKLAND PARK BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33306-1601
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Country | US
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Telephone | 954-717-1919
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Fax | 954-717-2528
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Provider Business Mailing Address
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Address Line | 2510 E OAKLAND PARK BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33306-1601
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Country | US
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Telephone | 954-717-1919
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Fax | 954-717-2528
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Authorized Official
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Title or Position | MD
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Name | SHAHID RANDHAWA
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Credential | M.D.
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Telephone | 954-717-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | ME92264
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License Number State | FL
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