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General NPI Number Information
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NPI Number | 1538278452
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Entity Type | Individual
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Provider Name | DAVID E ALLEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 349 OLDE RIDENOUR RD
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City | GAHANNA
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State | OH
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Zip | 43230
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Country | US
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Telephone | 614-471-2552
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Fax |
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Provider Business Mailing Address
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Address Line | 757 MCLEOD PARC
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City | PICKERINGTON
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State | OH
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Zip | 43147-8451
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Country | US
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Telephone | 614-834-0387
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 35-050640A
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License Number State | OH
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