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General NPI Number Information
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NPI Number | 1578811923
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Entity Type | Organization
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Legal Business Name | ALISON TATE MD INC
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Dates
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Enumeration Date | 08/16/2012
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 10 CONGRESS ST SUITE 300
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City | PASADENA
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State | CA
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Zip | 91105-3045
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Country | US
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Telephone | 626-397-5870
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Fax | 626-397-5872
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Provider Business Mailing Address
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Address Line | 10 CONGRESS ST
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City | PASADENA
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State | CA
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Zip | 91105-3045
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Country | US
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Telephone | 626-397-5870
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Fax | 626-597-5872
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. ALISON L TATE
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Credential | M.D.
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Telephone | 626-397-5870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | A107896
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License Number State | CA
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