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General NPI Number Information
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NPI Number | 1376752097
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Entity Type | Organization
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Legal Business Name | HOWARD H ALLISON M.D.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 500 W EATON AVE
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City | TRACY
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State | CA
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Zip | 95376-3422
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Country | US
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Telephone | 209-832-3222
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Fax | 209-832-7610
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Provider Business Mailing Address
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Address Line | 500 W EATON AVE
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City | TRACY
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State | CA
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Zip | 95376-3422
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Country | US
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Telephone | 209-832-3222
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Fax | 209-832-7610
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. HOWARD H ALLISON
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Credential | M.D.
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Telephone | 209-832-3222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | G51865
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License Number State | CA
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