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General NPI Number Information
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NPI Number | 1104318682
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Entity Type | Individual
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Provider Name | DAVID GORDON ALLAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2018
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 2338 IMMOKALEE RD # 186
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City | NAPLES
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State | FL
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Zip | 34110-1445
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Country | US
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Telephone | 239-330-2933
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Fax |
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Provider Business Mailing Address
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Address Line | 1028 S CARROLLTON AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70118-1100
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Country | US
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Telephone | 217-652-7798
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME151350
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License Number State | FL
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