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General NPI Number Information
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NPI Number | 1558302893
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Entity Type | Individual
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Provider Name | DONALD LANCY ALLYN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 125 MALL DR. SUITE 301
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City | HANFORD
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State | CA
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Zip | 93230
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Country | US
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Telephone | 559-584-3000
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Fax | 559-583-8456
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Provider Business Mailing Address
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Address Line | 1010 W GRANGEVILLE BLVD
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City | HANFORD
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State | CA
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Zip | 93230-2720
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Country | US
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Telephone | 559-584-3000
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G21696
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License Number State | CA
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