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General NPI Number Information
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NPI Number | 1548755408
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Entity Type | Individual
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Provider Name | DANIEL JAMES ALLEN PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/24/2018
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 1714 SW 17TH ST STE 200
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City | OCALA
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State | FL
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Zip | 34471-1227
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Country | US
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Telephone | 352-877-3360
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Fax | 866-552-4890
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Provider Business Mailing Address
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Address Line | 5980 SW 117TH LANE RD
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City | OCALA
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State | FL
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Zip | 34476-8685
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Country | US
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Telephone | 614-439-6437
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9111366
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License Number State | FL
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