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General NPI Number Information
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NPI Number | 1215371745
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Entity Type | Individual
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Provider Name | LINDSAY ELIZABETH ALLEN PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 13855 E 14TH ST
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City | SAN LEANDRO
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State | CA
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Zip | 94578-2611
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Country | US
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Telephone | 510-357-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 805 PAGE ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-2342
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Country | US
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Telephone | 708-557-5013
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 22865
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | PA22865
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2454
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085004622
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License Number State | IL
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