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General NPI Number Information
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NPI Number | 1689834673
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Entity Type | Organization
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Legal Business Name | DR. ANNA J. ALLEN
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 8838 VISCOUNT BLVD STE O
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City | EL PASO
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State | TX
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Zip | 79925-5822
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Country | US
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Telephone | 915-594-1123
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Fax | 915-590-0550
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Provider Business Mailing Address
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Address Line | 8838 VISCOUNT BLVD STE O
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City | EL PASO
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State | TX
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Zip | 79925-5822
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Country | US
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Telephone | 915-594-1123
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Fax | 915-590-0550
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Authorized Official
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Title or Position | OWNER
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Name | ANNA J ALLEN
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Credential | D.C.
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Telephone | 915-594-1123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2950
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License Number State | TX
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