ProviderBusinessMailingAddressFaxNumber = '4238447007'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1336162908
HIGHLANDS ALLERGY & ASTHMA CENTER PC
933 HIGHWAY 126
BRISTOL
TN
376203310
1326043373
WALLEN
NEIL
D
PO BOX 9
KINGSPORT
TN
376620009
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