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General NPI Number Information
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NPI Number | 1174944813
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Entity Type | Organization
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Legal Business Name | DR KAREN E ALLEN, OD, INC
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Dates
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Enumeration Date | 12/24/2013
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 16479 DALLAS PKWY SUITE 475
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City | ADDISON
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State | TX
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Zip | 75001-6825
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Country | US
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Telephone | 214-562-6290
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Fax |
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Provider Business Mailing Address
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Address Line | 630 DUMONT DR
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City | RICHARDSON
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State | TX
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Zip | 75080-6101
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Country | US
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Telephone | 214-562-6290
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN ELIZABETH ALLEN
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Credential | OD
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Telephone | 214-562-6290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6058TG
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License Number State | TX
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