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General NPI Number Information
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NPI Number | 1760851968
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Entity Type | Organization
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Legal Business Name | DANIEL C ALLISON MD FACS A MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 10/05/2015
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Provider Practice Location Address
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Address Line | 444 S SAN VICENTE BLVD SUITE 603
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City | LOS ANGELES
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State | CA
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Zip | 90048-4165
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Country | US
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Telephone | 310-967-8580
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Fax | 310-988-2555
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Provider Business Mailing Address
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Address Line | 13351 RIVERSIDE DR SUITE 615
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2542
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Country | US
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Telephone | 424-250-9258
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL C ALLISON
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Credential | MD
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Telephone | 310-967-8580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A87437
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License Number State | CA
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