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General NPI Number Information
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NPI Number | 1770670879
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Entity Type | Individual
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Provider Name | H. BRADFORD ALLEN MD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 211 AIRPORT RD
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City | MARSHALL
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State | AR
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Zip | 72650
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Country | US
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Telephone | 870-448-3327
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Fax | 870-448-3798
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Provider Business Mailing Address
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Address Line | PO BOX 1266
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City | MARSHALL
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State | AR
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Zip | 72650-1266
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Country | US
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Telephone | 870-448-3327
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Fax | 870-448-3798
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E5621
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License Number State | AR
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