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General NPI Number Information
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NPI Number | 1326006891
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Entity Type | Individual
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Provider Name | ALLISON CAMPFIELD TATEN MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 3901 W 15TH ST
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City | PLANO
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State | TX
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Zip | 75075
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Country | US
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Telephone | 972-596-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 1820 PRESTON PARK BLVD 1825
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City | PLANO
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State | TX
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Zip | 75093-3656
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Country | US
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Telephone | 972-867-7861
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Fax | 972-612-1623
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | K5475
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License Number State | TX
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