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General NPI Number Information
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NPI Number | 1326144817
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Entity Type | Individual
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Provider Name | ALLEN LIFTON MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 200 CAPRI ISLES BLVD SUITE 7D
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City | VENICE
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State | FL
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Zip | 34292-5350
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Country | US
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Telephone | 941-485-2220
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Fax | 941-485-2150
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Provider Business Mailing Address
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Address Line | 200 CAPRI ISLES BLVD SUITE 7D
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City | VENICE
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State | FL
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Zip | 34292-5350
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Country | US
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Telephone | 941-485-2220
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Fax | 941-485-2150
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME0073305
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License Number State | FL
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