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NPI 1548518103

NPI 1548518103 : GEORGE W ALLMAN,MD, INC. : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1548518103
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEORGE W ALLMAN,MD, INC. 
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Dates
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    Enumeration Date     |    08/29/2012
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    Last Update Date     |    05/02/2018
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Provider Practice Location Address
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    Address Line         |    909 HYDE ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94109-4822
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    Country              |    US
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    Telephone            |    707-548-8667
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19201 SONOMA HIGHWAY #328
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    City                 |    SONOMA
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    State                |    CA
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    Zip                  |    95476-1234
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    Country              |    US
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    Telephone            |    707-548-8667
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. GEORGE W ALLMAN 
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    Credential           |    
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    Telephone            |    707-548-8667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208G00000X
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    Taxonomy Name        |    Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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    License Number       |    C05012
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    License Number State |    CA
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