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General NPI Number Information
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NPI Number | 1679580344
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Entity Type | Individual
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Provider Name | DAVID P ALLEGRA MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 2336 SANTA MONICA BLVD SUITE 206
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City | SANTA MONICA
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State | CA
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Zip | 90404-2095
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Country | US
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Telephone | 310-828-7226
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Fax | 310-828-4426
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Provider Business Mailing Address
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Address Line | 2336 SANTA MONICA BLVD SUITE 206
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City | SANTA MONICA
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State | CA
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Zip | 90404-2095
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Country | US
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Telephone | 310-828-7226
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Fax | 310-828-4426
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | G71599
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | G71599
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License Number State | CA
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