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General NPI Number Information
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NPI Number | 1114855020
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Entity Type | Organization
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Legal Business Name | DIVE WELL MEDICAL SERVICES
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 4695 CHABOT DRIVE SUITE 200
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City | PLEASANTON
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State | CA
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Zip | 94588
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Country | US
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Telephone | 925-482-6118
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Fax |
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Provider Business Mailing Address
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Address Line | 2443 FILLMORE ST # 380-8269
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-1814
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Country | US
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Telephone | 925-482-6118
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER ALLEN
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Credential | MD
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Telephone | 925-482-6118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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