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General NPI Number Information
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NPI Number | 1225173909
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Entity Type | Organization
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Legal Business Name | REBECCA ALLEYNE M.D.,INC.
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1045 ATLANTIC AVENUE SUITE 712
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City | LOS ANGELES
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State | CA
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Zip | 90813
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Country | US
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Telephone | 562-491-4879
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Fax | 562-491-7987
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Provider Business Mailing Address
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Address Line | 1045 ATLANTIC AVENUE SUITE 712
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City | LOS ANGELES
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State | CA
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Zip | 90813
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Country | US
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Telephone | 562-491-4879
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Fax | 562-491-7987
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REBECCA S. ALLEYNE
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Credential | M.D.
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Telephone | 562-491-4879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A79024
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License Number State | CA
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