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General NPI Number Information
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NPI Number | 1356759146
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Entity Type | Individual
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Provider Name | DANIEL J ALLEN O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 3350 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90023-2206
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Country | US
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Telephone | 323-268-1131
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Fax |
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Provider Business Mailing Address
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Address Line | 16306 SIERRA PASS WAY
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-5514
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Country | US
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Telephone | 909-618-3960
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 15103
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License Number State | CA
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