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General NPI Number Information
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NPI Number | 1407051584
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Entity Type | Organization
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Legal Business Name | DANIEL B. ALLEN, M.D., INC.
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20055 LAKE CHABOT RD SUITE 240
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5331
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Country | US
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Telephone | 510-889-1100
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Fax | 510-889-1115
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Provider Business Mailing Address
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Address Line | 20055 LAKE CHABOT RD SUITE 240
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5331
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Country | US
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Telephone | 510-889-1100
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Fax | 510-889-1115
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL BRADLEY ALLEN
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Credential | MD
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Telephone | 510-582-1100
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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 | G71411
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License Number State | CA
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