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General NPI Number Information
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NPI Number | 1003226762
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Entity Type | Organization
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Legal Business Name | ALLEN J THOMASHEFSKY, MD, A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/04/2014
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Last Update Date | 05/04/2014
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Provider Practice Location Address
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Address Line | 2320 BATH ST STE 301
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4345
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Country | US
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Telephone | 805-962-2662
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Fax | 805-569-5670
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Provider Business Mailing Address
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Address Line | 2320 BATH ST STE 301
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City | SANTA BARBARA
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State | CA
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Zip | 93105-4345
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Country | US
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Telephone | 805-962-2662
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Fax | 805-569-5670
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALLEN J THOMASHEFSKY
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Credential | M.D.
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Telephone | 805-962-2662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | G22085
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License Number State | CA
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