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General NPI Number Information
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NPI Number | 1053380493
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Entity Type | Individual
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Provider Name | THOMAS J. ALLEN MD
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1717 S. ORANGE AVE. SUITE 100 NEMOURS CHILDRENS CLINIC ORLANDO
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City | ORLANDO
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State | FL
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Zip | 32806-2946
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Country | US
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Telephone | 407-650-7715
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Fax | 407-650-7124
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Provider Business Mailing Address
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Address Line | P.O. BOX 5720 PROVIDER ENROLLMENT DEPARTMENT
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City | JACKSONVILLE
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State | FL
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Zip | 32247-5720
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Country | US
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Telephone | 302-651-5985
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Fax | 407-650-7578
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 0101057845
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2083A0100X
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Taxonomy Name | Aerospace Medicine Physician
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License Number | 0101057845
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 0101057845
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | ME110242
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | 2004017086
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 286500000X
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Taxonomy Name | Military Hospital
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License Number | 0101057845
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101057845
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License Number State | VA
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