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General NPI Number Information
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NPI Number | 1154461267
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Entity Type | Individual
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Provider Name | TONY ALLEMAN MD MPH
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 106 HERITAGE
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City | BROUSSARD
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State | LA
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Zip | 70518-8046
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Country | US
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Telephone | 337-451-4263
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Fax | 337-451-4661
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Provider Business Mailing Address
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Address Line | 105 MISSION HILLS DR
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City | BROUSSARD
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State | LA
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Zip | 70518-6163
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Country | US
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Telephone | 337-856-7636
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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 | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | 16803
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | 016803
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 016803
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License Number State | LA
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