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General NPI Number Information
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NPI Number | 1992358055
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Entity Type | Organization
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Legal Business Name | ALLERGY AND ASTHMA SPECIALISTS OF FREDERICK LLC
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 03/14/2020
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Provider Practice Location Address
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Address Line | 5300 WESTVIEW DR STE 102
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City | FREDERICK
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State | MD
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Zip | 21703-8372
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Country | US
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Telephone | 240-831-4743
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Fax | 240-831-4539
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Provider Business Mailing Address
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Address Line | 1921 MORAN DR
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City | FREDERICK
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State | MD
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Zip | 21702-6444
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Country | US
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Telephone | 301-471-7120
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Fax |
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Authorized Official
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Title or Position | MEMBER AND EMPLOYEE
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Name | DR. ALPA L. JANI
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Credential | MD
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Telephone | 301-471-7120
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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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