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General NPI Number Information
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NPI Number | 1659604023
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Entity Type | Individual
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Provider Name | ALLEN A. HASSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 07/13/2011
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Provider Practice Location Address
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Address Line | 3121 E HILLSIDE DR
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City | WEST COVINA
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State | CA
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Zip | 91791-3459
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Country | US
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Telephone | 626-347-8220
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Fax |
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Provider Business Mailing Address
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Address Line | 3121 E HILLSIDE DR
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City | WEST COVINA
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State | CA
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Zip | 91791-3459
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Country | US
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Telephone | 626-347-8220
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | A114943
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A114943
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A114943
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number | A114943
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License Number State | CA
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