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General NPI Number Information
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NPI Number | 1124239215
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Entity Type | Organization
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Legal Business Name | JAMES F ALLEN MD PC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4616 WESTGROVE CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5414
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Country | US
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Telephone | 757-460-4655
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Fax | 757-460-7744
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Provider Business Mailing Address
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Address Line | 4616 WESTGROVE CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-5414
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Country | US
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Telephone | 757-460-4655
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Fax | 757-460-7744
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Authorized Official
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Title or Position | OWNER
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Name | JAMES F ALLEN
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Credential | MD
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Telephone | 757-460-4655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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