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General NPI Number Information
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NPI Number | 1558519355
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Entity Type | Organization
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Legal Business Name | DAVID R ALLEN INC
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 2761 E SKELLY DR SUITE 114
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City | TULSA
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State | OK
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Zip | 74105-6232
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Country | US
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Telephone | 918-779-5649
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Fax |
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Provider Business Mailing Address
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Address Line | 1626 WILCOX AVE SUITE 641
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City | LOS ANGELES
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State | CA
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Zip | 90028-6234
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Country | US
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Telephone | 918-779-5649
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID R ALLEN
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Credential | M.D.
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Telephone | 918-779-5649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 16180
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License Number State | OK
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